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Foot & Ankle Specialist

Hesham Saleh, Sanjit Konda, Adam Driesman, John Stranix, Catherine Ly, Pierre Saadeh, Kenneth Egol
BACKGROUND: The incidence and risk factors of wound-healing complications following rotational ankle fracture surgery are well documented in the literature. However, there is a paucity regarding management options following these complications. The goal of this study was to provide a descriptive analysis of one surgeon's experience managing wound complications in patients who have undergone ankle fracture surgery. METHODS: A total of 215 patients who were operatively treated for an unstable ankle were retrospectively identified...
November 16, 2018: Foot & Ankle Specialist
Direk Tantigate, Gavin Ho, Joshua Kirschenbaum, Henrik B├Ącker, Benjamin Asherman, Christina Freibott, Justin K Greisberg, J Turner Vosseller
BACKGROUND: Unstable ankle fractures are treated with open reduction internal fixation (ORIF) to prevent posttraumatic arthritis. Typically, ORIF is performed as an ambulatory surgery several days to a few weeks after injury. It is unclear what effect this delay may have on functional outcome. This study aimed to assess the effect of timing of ankle ORIF on wound complications and functional outcome. METHODS: A retrospective review of 121 patients who underwent ankle ORIF was performed...
November 14, 2018: Foot & Ankle Specialist
Trevor J Shelton, Sohni Singh, Eduardo Bent Robinson, Lorenzo Nardo, Eva Escobedo, Lyle Jackson, Christopher D Kreulen, Eric Giza
INTRODUCTION: Clinical decisions are often made on weight-bearing radiographs. However, it is unknown whether various weight-bearing conditions alter specific radiographic measurements. The purpose of this study was to determine whether percentage weight-bearing influences radiographic measurements of the normal foot. METHODS: A prospective study with 20 healthy individuals had radiographs of the foot under 5 weight-bearing conditions (non-weight-bearing, 10% body weight, 25% body weight, 50% body weight, and 100% body weight)...
October 31, 2018: Foot & Ankle Specialist
Nisha N Shah, Marcus P Richardson, Anson K Chu, Christopher F Hyer
The development of hallux interphalangeal joint (IPJ) arthritis after an arthrodesis of the first metatarsophalangeal joint has been established in the literature. However, the significance has not been well reported. A retrospective, radiographic review of patients who had undergone a first metatarsophalangeal joint arthrodesis was performed. The Coughlin classification for degree of arthritic degeneration, hallux abductus angle, and hallux interphalangeus angle were measured in 107 radiographs of 103 patients preoperatively and postoperatively...
October 20, 2018: Foot & Ankle Specialist
David N Bernstein, Michael R Anderson, Judith F Baumhauer, Irvin Oh, A Samuel Flemister, John P Ketz, Benedict F DiGiovanni
BACKGROUND: Achilles tendinopathy is a common clinical disorder. Utilizing the Patient-Reported Outcomes Measurement Information System, we aim to determine clinical response to nonoperative achilles tendinopathy rehabilitative care of insertional achilles tendinopathy compared to non-insertional achilles tendinopathy. METHODS: Prospective Patient-Reported Outcomes Measurement Information System Physical Function, Pain Interference, and Depression scores were collected for patients with achilles tendinopathy at presentation and following a standard course of nonoperative care...
October 19, 2018: Foot & Ankle Specialist
Pejma Shazadeh Safavi, Cory Janney, Daniel Jupiter, Daniel Kunzler, Roger Bui, Vinod K Panchbhavi
BACKGROUND: The goal of this systematic review is to determine the most commonly used outcome measurement tools used by foot and ankle specialists and determine their limitations, such as whether they are validated, have floor/ceiling effects, and so on. METHODS: A literature search was conducted to identify primary publications between January 1, 2012 and July 1, 2017 that concern care of the foot and ankle and use any established grading criteria to evaluate patients...
October 19, 2018: Foot & Ankle Specialist
Crystal L Ramanujam, Thomas Zgonis
"A systematic review was undertaken to assess the outcomes of local random flaps in diabetic foot wound closure. The review was conducted using the following databases: Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, Excerpta Medica dataBASE, Google Scholar, MEDLINE, Ovid, and PubMed. Search terms were local random flap, diabetes, foot, wound, ulceration, neuropathy, tissue transfer, V-Y, bilobed, monolobed, rotational, advancement, transpositional, rhomboid, and Limberg. English language studies, studies published from 1997 to 2017, patients with diabetes mellitus treated for foot wounds, use of local random flaps, follow-up period of 6 months or more postoperatively, documentation of healing rates, complications, and need for revisional surgery were included...
October 17, 2018: Foot & Ankle Specialist
Mohammed A Khalid, William M Weiss, Michael Iloanya, Vinod K Panchbhavi
BACKGROUND: Chronic Achilles tendon ruptures are uncommon and increase long-term morbidity when untreated. There is no standard treatment for this condition. METHODS: Chronic Achilles tendon rupture was repaired in 10 patients by harvesting the flexor hallucis longus tendon (FHL) using a minimally invasive technique. It was then transferred to the calcaneus and the remnant used to bridge the gap for reconstructing the Achilles tendon itself. The patients were assessed using the American Orthopaedic Foot and Ankle Score (AOFAS) Ankle-Hindfoot Scale...
October 11, 2018: Foot & Ankle Specialist
Andrew S Moon, Andrew S McGee, Harshadkumar A Patel, Ryan Cone, Gerald McGwin, Sameer Naranje, Ashish Shah
BACKGROUND: Hindfoot fusion procedures are increasingly being performed in the outpatient setting. However, the cost savings of these procedures compared with the risks and benefits has not been clearly investigated. The objective of this study was to compare patient characteristics, costs, and short-term complications between inpatient and outpatient procedures. METHODS: This was a retrospective review of all patients who underwent inpatient and outpatient hindfoot fusion procedures by a single surgeon, at 1 academic institution, from 2013 to 2017...
October 4, 2018: Foot & Ankle Specialist
Hazibullah Waizy, Hans Polzer, Nils Schikora, Andreas Forth, Felix Becker, Chrisitina Stukenborg-Colsman, Daiwei Yao
OBJECTIVE: Brachymetatarsia is defined as the pathological shortening of a metatarsal bone, which can cause cosmetic problems and pain in the forefoot. The main surgical treatment options are: extension osteotomy, interposition of a bone graft, and callus distraction. Usually, a bone graft from the iliac crest is used for the interposition osteotomy. The operative technique of graft extraction from the fibula has not been described in the literature yet. METHODS: Eight feet with brachymetatarsia in 5 patients were evaluated retrospectively...
October 3, 2018: Foot & Ankle Specialist
Joseph Tracey, Tyler J Vovos, Danny Arora, Samuel Adams, Selene G Parekh
BACKGROUND: Lateral malleolus (LM) fixation is necessary for unstable ankle fractures. Traditional fixation relies on the use of plates through a lateral incision, wound healing can be an issue for such incisions. A novel intramedullary (IM) fixation device has been developed that can be placed through a minimal incision. The purpose of this study was to demonstrate the clinical efficacy of this device. METHODS: A retrospective analysis was performed on patients who received IM fixation for isolated fibula, bimalleolar (BM), and trimalleolar (TM) fractures...
October 1, 2018: Foot & Ankle Specialist
J Benjamin Jackson, Christopher H Chu, Kevin A Williams, Paul H Bornemann
Tendinopathy of the foot and ankle is common and can lead to pain or functional limitations. The most frequently affected tendons in the foot and ankle are the posterior tibial, peroneal, and Achilles. We used ultrasound to determine normal values for these tendons. From 2015 to 2016, a prospective, standardized bilateral lower extremity ultrasound examination protocol was performed by a musculoskeletal ultrasonographer of the 4 tendons and above and below the malleoli as appropriate. A total of 199 patients with 398 extremities were identified, consented, and participated in the study...
September 28, 2018: Foot & Ankle Specialist
Kempland C Walley, Evan P Roush, Christopher M Stauch, Allen R Kunselman, Kaitlin L Saloky, Jesse L King, Gregory S Lewis, Michael C Aynardi
BACKGROUND: The pathophysiology of adult-acquired flatfoot deformity (AAFD) is not fully explained by degeneration of the posterior tibial tendon alone. While a shortened or dysplastic lateral column has been implicated in flatfoot deformity in pediatrics, there is no study that has quantified the degree of dysplasia in adults with a stage IIb flatfoot deformity, or if any exists at all. METHODS: An institutional radiology database was queried for patients with posterior tibial tendon dysfunction (PTTD) who had computed tomography (CT) performed...
August 31, 2018: Foot & Ankle Specialist
Jess F Doty, Jeffrey S Feinblatt, Brett R Grebing, Minton Truitt Cooper, Stephen A Brigido, Minton Truitt Cooper
No abstract text is available yet for this article.
October 2018: Foot & Ankle Specialist
John M Schuberth
No abstract text is available yet for this article.
October 2018: Foot & Ankle Specialist
Jacqueline M Maher, Emily M Brook, Christopher Chiodo, Jeremy Smith, Eric M Bluman, Elizabeth G Matzkin
BACKGROUND: Lower extremity chronic exertional compartment syndrome (CECS) can negatively affect exercise and activity and may require operative intervention to release the fascia. Few studies have evaluated or compared patient-reported outcomes for bilateral versus single-leg staged fasciotomy and number of compartments released. METHODS: A total of 27 eligible patients who underwent a fasciotomy procedure for CECS at a single institution were identified. A retrospective review of the medical record was performed, and individuals were contacted by phone to collect patient-reported outcomes, including ability to return to desired exercise level, postoperative expectation assessment, European Quality of Life-Five Dimensions, and the Foot and Ankle Ability Measure sports subscale...
October 2018: Foot & Ankle Specialist
Michael Dujela, Christopher F Hyer, Gregory C Berlet
BACKGROUND: Hindfoot arthritis or significant deformity involving the ankle and subtalar joint (STJ) is a disabling condition with few salvage options. Many surgeons note a decreased STJ fusion rate compared with ankle union when a retrograde nail construct is used. The purpose of this study was to report the STJ fusion rate of tibiotalocalcaneal (TTC) arthrodesis with retrograde nail. METHODS: A chart and radiographic review was performed. TTC fusions performed in patients with osteoarthritis, posttraumatic arthritis, or deformity correction with retrograde nail fixation were included...
October 2018: Foot & Ankle Specialist
Philip B Kaiser, Ian Watkins, Matthew D Riedel, Patrick Cronin, Jorge Briceno, John Y Kwon
BACKGROUND: Orthopaedic surgery frequently requires the use of metal plate and screw constructs for osteosynthesis. These constructs may be subsequently removed for a variety of indications. In the lower extremity in particular, implants (ie, hardware) can lead to prominence and pain secondary to a thin soft-tissue envelope with little subcutaneous tissue. Often, removal is performed without knowledge of the exact type of screw head configuration and/or size, which can make removal technically challenging...
August 22, 2018: Foot & Ankle Specialist
Robert D Stibolt, Harshadkumar A Patel, Eva J Lehtonen, Henry A DeBell, Andrew S Moon, Sameer Naranje, Ashish Shah
BACKGROUND: When surgery is indicated for hallux rigidus, toe arthroplasty is an alternative procedure to arthrodesis for patients who wish to preserve toe range of motion. Our study investigated midterm outcomes of first metatarsophalangeal joint (MTPJ) arthroplasty in an effort to discern whether or not partial or total joint replacement confers benefit in these patients. METHODS: A systematic review of MTPJ arthroplasty was performed for the years 2000 to 2017...
August 22, 2018: Foot & Ankle Specialist
Ibukunoluwa Araoye, Zachariah Pinter, Sung Lee, Cesar De Cesar Netto, Parke Hudson, Ashish Shah
BACKGROUND: Multiple ankle pathologies have been found to coexist with chronic lateral ankle ligament instability, but their prevalence varies widely in the literature. The purpose of this study is to reexamine the prevalence of these associated pathologies and to determine their impact on reoperation rate. METHODS: We retrospectively reviewed 382 cases of lateral ankle ligament repair/reconstruction between June 2006 and November 2016. Patient charts and radiograph reports were examined for the presence of any associated foot and ankle pathologies as well as clinical course...
August 21, 2018: Foot & Ankle Specialist
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