Minimizing the role of fusion in the rigid flatfoot.

abstract：:Nonunions of the tibia represent challenging orthopedic problems, which require the surgeon to analyze numerous factors and choose an appropriate treatment. Tibial nonunion treatment requires establishing its existence and cause. The treatment algorithm necessitates consideration of a wide variety of factors: the loca...

journal_title：Foot and ankle clinics

authors： Mechrefe AP,Koh EY,Trafton PG,DiGiovanni CW

更新日期：2006-03-01 00:00:00

abstract：:Talar head and fracture injuries are not easily recognized and can create significant long-term disability when missed. Careful investigation of any injury about the ankle requires both clinical and radiographic examination. A computed tomography scan is extremely helpful in diagnosing and treating talus fractures. Di...

journal_title：Foot and ankle clinics

authors： Early JS

更新日期：2008-12-01 00:00:00

abstract：:Fusion of the PIP joint of the lesser toes provides sound correction of deformity of that joint. Fusion is achieved reliably in most cases and fibrous ankylosis is well tolerated in those that fail. Patients at the extremes of the age scale are perhaps less tolerant of the procedure; complaints include poor cosmesis a...

journal_title：Foot and ankle clinics

authors： Edwards WH,Beischer AD

更新日期：2002-03-01 00:00:00

abstract：:A bunionette deformity is a painful prominence on the lateral aspect of the fifth metatarsal head. Surgical treatment can be considered if conservative treatment has failed to relieve the symptoms. The percutaneous approach consists of 2 steps: a condylectomy and an osteotomy of the fifth metatarsal. The learning curv...

journal_title：Foot and ankle clinics

authors： Michels F,Guillo S

更新日期：2020-09-01 00:00:00

abstract：:This article summarizes the various alternatives for direct gastrocnemius lengthening and elucidates the relative strengths and tradeoffs of each as a means of providing balanced perspective in selecting the appropriate procedure for any given patient. ...

journal_title：Foot and ankle clinics

authors： Hsu RY,VanValkenburg S,Tanriover A,DiGiovanni CW

更新日期：2014-12-01 00:00:00

abstract：:Hallux rigidus or osteoarthritis of the first metatarsophalangeal joint is characterized by pain, stiffness of the joint, and alterations of gait. The appeal of joint arthroplasty for hallux rigidus is similar to its benefits in other joints in the body. The ideal implant should relieve pain, restore motion, improve f...

journal_title：Foot and ankle clinics

authors： Sullivan MR

更新日期：2009-03-01 00:00:00

abstract：:In athletes, foot injuries present with a variety of mechanisms, severity, and implications for return to play. Although potentially given less attention than knee and shoulder injuries by the team physician, foot injuries are common and thus require knowledgeable consideration. In this article, we review the anatomy,...

journal_title：Foot and ankle clinics

authors： Davis WA 3rd,Yagnik GP

更新日期：2021-03-01 00:00:00

abstract：:The tendons that cross the ankle are complex and sophisticated structures that enable standing and forward propulsion and the ability to accommodate uneven ground. Understanding the biomechanics and local anatomy of these tendons is essential to the treatment of disorders of the foot and ankle, whether it be in formul...

journal_title：Foot and ankle clinics

authors： Chiodo CP

更新日期：2017-12-01 00:00:00

abstract：:Cavovarus foot deformity is a result of a dysbalance of the extrinsic musculature about the foot. Because of the multi-articular bony structure of the foot and ankle, the slightest imbalance of muscular forces causes osteo-articular malalignment and consequent gross deformities. This article discusses hindfoot issues ...

journal_title：Foot and ankle clinics

authors： Klaue K

更新日期：2008-06-01 00:00:00

abstract：:The overcorrected flatfoot reconstruction is a less common but often difficult sequelae of surgical treatment of the adult acquired flatfoot deformity. Understanding the patient's symptoms and how they correlate to the procedures performed during the index surgery are paramount to determining the appropriate course of...

journal_title：Foot and ankle clinics

authors： Irwin TA

更新日期：2017-09-01 00:00:00

abstract：:Imaging of the subtalar joint can be challenging because of its complex planar anatomy. This article reviews the anatomy and common anatomic variants as seen with different imaging techniques. Although radiography remains the initial mode of imaging, computed tomography and MRI are frequently needed to better delineat...

journal_title：Foot and ankle clinics

authors： Lopez-Ben R

更新日期：2015-06-01 00:00:00

abstract：:Tibialis anterior (TA) tendon rupture is a rare injury that has been described and studied in orthopedic literature through case reports and low-volume case studies. This article reviews the current literature on TA tendinosis and acute and chronic ruptures. It discusses the patient presentation, physical examination,...

journal_title：Foot and ankle clinics

authors： Harkin E,Pinzur M,Schiff A

更新日期：2017-12-01 00:00:00

abstract：:Although a painful accessory navicula and a pes planus often coexist, they are not necessarily causally related, and each condition should be assessed and treated individually. A child or adolescent will notice the rubbing of an accessory navicula against footwear as the foot and boney swelling grows. The cause of per...

journal_title：Foot and ankle clinics

authors： Vaughan P,Singh D

更新日期：2014-09-01 00:00:00

abstract：:The understanding of the pathology and treatment of hallux sesamoid disorders has improved considerably over the last few decades. It is interesting to speculate what further improvements are on the horizon. Newer imaging methods and possibly an increased use of small joint arthroscopy may make it possible to better d...

journal_title：Foot and ankle clinics

authors： Grace DL

更新日期：2000-09-01 00:00:00

abstract：:Posteromedial ankle complaints are most often caused by a disorder of the posterior tibial tendon. Two predominant groups of patients can be distinguished: the first involves younger patients who have some form of systemic inflammatory disease; the second involves older patients whose dysfunction is caused by chronic ...

journal_title：Foot and ankle clinics

authors： Bulstra GH,Olsthoorn PG,Niek van Dijk C

更新日期：2006-06-01 00:00:00

abstract：:Osteochondral lesions of the talus can present a challenge to the orthopedic surgeon. Because of its avascular nature, articular cartilage has a poor capacity for self-repair and regeneration. A wide variety of strategies have been developed to restore the structure and function of injured cartilage. Surgical strategi...

journal_title：Foot and ankle clinics

authors： Cerrato R

更新日期：2013-03-01 00:00:00

abstract：:Cyclooxygenase-2 (COX-2) inhibitors are an important adjunct in controlling postoperative pain. Concerns exist regarding the use of NSAIDs for postoperative pain management because of the possible deleterious impact on bone healing in patients undergoing hindfoot arthrodesis. Orthopedic surgeons are concerned with: (1...

journal_title：Foot and ankle clinics

authors： Hill K,Berlet GC,Philbin TM,Lee TH

更新日期：2005-12-01 00:00:00

abstract：:Considerable recent orthopedic literature is dedicated to either the surgical management of OLTs and correction of varus ankle alignment, but little is published on the combination of these 2 problems. We anticipate that future clinical and biomechanical research will address their simultaneous treatment; until then, ...

journal_title：Foot and ankle clinics

authors： Easley ME,Vineyard JC

更新日期：2012-03-01 00:00:00

abstract：:The treatment of the congruent hallux valgus deformity requires special consideration for a successful outcome to be obtained. The distal metatarsal articular angle is of critical importance in this deformity. The goal of correction is to achieve a realigned first ray and preserve the congruent first metatarsophalange...

journal_title：Foot and ankle clinics

authors： Smith BW,Coughlin MJ

更新日期：2009-09-01 00:00:00

abstract：:Malignant osseous and soft tissue tumors of the foot are rare and should be considered in patients who have foot-related symptoms. Most sarcomas affect patients who are older than 55 years; however, many young patients who are otherwise healthy, may present with malignant foot and ankle lesions. In addition to benign ...

journal_title：Foot and ankle clinics

authors： Papagelopoulos PJ,Mavrogenis AF,Badekas A,Sim FH

更新日期：2003-12-01 00:00:00

abstract：:The advancing technologies available to the orthopedist are a necessary adjunct to heal wounds about the foot and ankle successfully. Successful wound healing should be viewed as a multidisciplinary approach, using the strengths of each discipline. Critical to an integrated method is communication preoperatively betwe...

journal_title：Foot and ankle clinics

authors： Cooper PS

更新日期：2001-12-01 00:00:00

abstract：:Salvage of nonunion and malunion of trauma of the foot and ankle is often challenging surgery. Internal fixation provides the mainstay of most orthopedic surgeons' treatment of these conditions. Patient systemic factors, local factors, and the complex nature of these often multiplanar deformities may make external fix...

journal_title：Foot and ankle clinics

authors： Molloy AP,Roche A,Narayan B

更新日期：2009-09-01 00:00:00

abstract：:Lateral talar process fractures (LTPF) are uncommon injuries but have become more relevant with snowboarding. Currently the fractures are classified according to McCrory-Bladin into 3 types, with advice for treatment that is not ideal anymore. This article proposes modifying the existing classification by differentiat...

journal_title：Foot and ankle clinics

authors： Tinner C,Sommer C

更新日期：2018-09-01 00:00:00

abstract：:Postoperative recurrence of hallux valgus is a relatively common complication and is associated with unsatisfactory surgical outcomes. Risk factors for postoperative recurrence include a round lateral edge of the first metatarsal head (a positive round sign) and incomplete reduction of the sesamoids. These risk factor...

journal_title：Foot and ankle clinics

authors： Okuda R

更新日期：2018-06-01 00:00:00

abstract：:These two morbidly obese patients with severe Charcot foot arthropathy were treated successfully with percutaneous correction of their deformity followed by a stepwise application of a pre-assembled neutrally aligned multiplane ring external fixator. This technique transfers well to the trauma environment in which ali...

journal_title：Foot and ankle clinics

authors： Pinzur MS

更新日期：2006-12-01 00:00:00

abstract：:Using radiographs culled over a 33-month period, the treatment, complications, revision, and rehabilitation of complicated Jones fractures and stress fractures involving the proximal diaphysis are examined. Although the non-operative approach remains viable, the exigencies and desires of the athletic and leg-based wor...

journal_title：Foot and ankle clinics

authors： McBryde AM Jr

更新日期：2009-06-01 00:00:00

abstract：:Interdigital neuralgia affects a significant number of individuals, with an average age of presentation in the sixth decade and a 4- to 15-fold increased prevalence in women. Historical descriptions date back to the 19th century. Nonoperative treatment with shoe modifications, metatarsal pads, and injections provides ...

journal_title：Foot and ankle clinics

authors： Peters PG,Adams SB Jr,Schon LC

更新日期：2011-06-01 00:00:00

abstract：:Peroneal tendon dislocation is an infrequent sports injury and can be difficult to diagnose. Posterior fibula tenderness and pain with eversion are useful signs to discriminate this from an ankle sprain. In the acute setting, a direct repair provides good results but may need to be augmented with additional soft tissu...

journal_title：Foot and ankle clinics

authors： Rosenfeld P

更新日期：2007-12-01 00:00:00

abstract：:Hallux valgus is an extremely common and often disabling deformity. In addition to valgus deformity of the hallux, varying degrees of varus and supination of the first metatarsal and instability in the metatarsophalangeal and metatarsocuneiform joints are frequently present. Because of the complexity and multiplicity ...

journal_title：Foot and ankle clinics

authors： Sanhudo JAV,Pereira TAP

更新日期：2020-03-01 00:00:00

abstract：:Surgical decompression of peripheral nerves for the treatment of diabetic peripheral neuropathy has been studied and previously reported. These studies reported decreased pain and some studies showed improved sensory function. The role that this surgery can play remains controversial. ...

journal_title：Foot and ankle clinics

authors： Biddinger KR,Amend KJ

更新日期：2004-06-01 00:00:00