Midfoot Arthritis
NULL 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) joints provide
Evolving Techniques in Foot and Ankle Amputation
J 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 team, and good surgical techniqueremain the same. […]
Commonly Missed Peritalar Injuries
NULL 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 findings, and low incidence limit familiarity, thereby […]
Severe periprosthetic osteolytic lesions after the Ankle Evolutive System total ankle replacement
Journal 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 consecutive ankles were replaced with an hydroxyapatite […]
Peroneal Tendon Injuries
Terrence 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 to 40% of affected individuals experience subsequent […]
Distal Fibula Malunions
Alice 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 fracture malunions often present with concomitant syndesmotic […]
Surgical Treatment for Chronic Disease and Disorders of the Achilles Tendon
J 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 of treatment have been used, depending on […]
Management of Acute and Chronic Ankle Instability
Journal 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 the management methods of choice for acute […]
New Concepts in the Surgical Management of Ankle Fractures
ORTHOPEDICS 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 fractures are one of the most common […]
Design Features of Current Total Ankle Replacements: Implants and Instrumentation
J 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 ankle implants with a fixed (two-component design) […]
