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) […]
Ankle fusion for definitive management of non-reconstructable pilon fractures
NULL Foot Ankle Int. 2008 Sep;29(9):914-8. Bozic V, Thordarson DB, Hertz J. BACKGROUND: Highly comminuted pilon fractures, especially with a compromised soft tissue envelope, present a challenging treatment scenario. This study presents our results for patients managed with ankle fusion rather than ORIF. MATERIALS AND METHODS: Fourteen patients with ankle joint incongruence after non-reconstructable tibia […]
The Management of Ankle Fractures in Patients with Diabetes
NULL The Journal of Bone and Joint Surgery (American). 2008;90:1570-1578. Dane K. Wukich, MD1 and Alex J. Kline, MD2 Patients with diabetes mellitus have higher complication rates following both open and closed management of ankle fractures. Diabetic patients with neuropathy or vasculopathy have higher complication rates than both diabetic patients without these comorbidities and nondiabetic […]
Plantar Fasciitis: Evaluation and Treatment
NULL J Am Acad Orthop Surg, Vol 16, No 6, June 2008 Steven K. Neufeld, MD and Rebecca Cerrato, MD Plantar fasciitis is the most common cause of plantar heel pain. Its characteristic features are pain and tenderness, predominately on the medial aspect of the calcaneus near the sole of the heel. Considering a complete […]