Última actualización 22/07/10NULL Amar Patel, MD, Smita Rao, PT, PhD, Deborah Nawoczenski, PT, PhD, Adolf S. Flemister, MD, Benedict DiGiovanni, MD and Judith F. Baumhauer, MD, MPH J Am Acad Orthop Surg 2010 18: Midfoot arthritis is a common cause of significant pain and disability. Although the medial tarsometatarsal (TMT) …
Leer más »Tobillo y Pie
Evolving Techniques in Foot and Ankle Amputation
Última actualización 28/04/10J Am Acad Orthop Surg, Vol 18, No 4, April 2010 Vincent Y. Ng, MD and Gregory C. Berlet, MD Multiple clinical pathways lead to lower extremity amputation, including trauma, dysvascular disease, congenital defects, and malignancy. However, the principles of successful amputationcareful preoperative planning, coordination of a multidisciplinary …
Leer más »Commonly Missed Peritalar Injuries
Última actualización 18/01/10NULL Joseph X. Kou, MD and Paul T. Fortin, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Because of the effect on hindfoot kinematics, missed or delayed diagnosis of peritalar injuries often results in impairment. The seemingly innocuous nature of these injuries, subtle radiographic …
Leer más »Severe periprosthetic osteolytic lesions after the Ankle Evolutive System total ankle replacement
Última actualización 18/08/09Journal of Bone and Joint Surgery – British Volume, Vol 91-B, Issue 7, H. Koivu, MD, Orthopaedic Surgeon1; I. Kohonen, MD, Radiologist2; E. Sipola, MD, Orthopaedic Surgeon3; K. Alanen, MD, PhD, Pathologist4; T. Vahlberg, MSc, Biostatistician5; and H. Tiusanen, MD, PhD, Orthopaedic Surgeon3 Between 2002 and 2008, 130 …
Leer más »Peroneal Tendon Injuries
Última actualización 18/05/09Terrence M. Philbin, DO, Geoffrey S. Landis, DO and Bret Smith, DO J Am Acad Orthop Surg, Vol 17, No 5, May 2009 Peroneal tendon injuries are underdiagnosed and should be considered in every patient who presents with chronic lateral ankle pain. Ankle sprains are common, and up …
Leer más »Distal Fibula Malunions
Última actualización 27/04/09Alice Chu, MD and Lon Weiner, MD J Am Acad Orthop Surg, Vol 17, No 4, April 2009, Anatomic reduction and fixation of unstable ankle fractures is necessary to prevent posttraumatic arthritis. Malunion of the distal fibula in unstable ankle fractures may lead to progressive talar instability. Ankle …
Leer más »Surgical Treatment for Chronic Disease and Disorders of the Achilles Tendon
Última actualización 5/02/09J Am Acad Orthop Surg, Vol 17, No 1, January 2009, 3-14. Sudheer S. Reddy, MD, David I. Pedowitz, MD, MS, Selene G. Parekh, MD, MBA, Imran M. Omar, MD and Keith L. Wapner, MD Chronic Achilles tendon disorders range from overuse syndromes to frank ruptures. Numerous forms …
Leer más »Management of Acute and Chronic Ankle Instability
Última actualización 29/10/08Journal of the American Academy of Orthopaedic Surgeons October 2008, Volume 16, Issue 10 Nicola Maffulli, MD, MS, PhD, FRCS and Nicholas A. Ferran, MBBS, MRCSEd Acute lateral ankle ligament injuries are common. If left untreated, they can result in chronic instability. Nonsurgical measures, including functional rehabilitation, are …
Leer más »New Concepts in the Surgical Management of Ankle Fractures
Última actualización 23/10/08ORTHOPEDICS 2008; 31:868 Eddie Y. Lo, MD; Mark A. Lee, MD Newer studies on surgical management of ankle fractures have given us a greater appreciation of the spectrum of stability for multiple patterns of injury, and newer fixation approaches and techniques may allow us to optimize fixation. Ankle …
Leer más »Design Features of Current Total Ankle Replacements: Implants and Instrumentation
Última actualización 30/09/08J Am Acad Orthop Surg, Vol 16, No 9, September 2008 Andrea Cracchiolo, III, MD and James K. DeOrio, MD Development of total ankle replacements began nearly 40 years ago. The initial devices were cemented and highly constrained, and they eventually failed. These were followed by second-generation cementless …
Leer más »