Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Foot & Ankle 52 articles


Long-term Results of Comprehensive Clubfoot Release Versus the Ponseti Method: Which Is Better?

Peter A. Smith MD, Ken N. Kuo MD, Adam N. Graf MS, Joseph Krzak PT, PhD, Ann Flanagan PT, Sahar Hassani MS, Angela K. Caudill PT, Fredrick R. Dietz MD, Jose Morcuende MD, Gerald F. Harris PE, PhD

Clubfoot can be treated nonoperatively, most commonly using a Ponseti approach, or surgically, most often with a comprehensive clubfoot release. Little is known about how these approaches compare with one another at longer term, or how patients treated with these approaches differ in terms of foot function, foot biomechanics, or quality-of-life from individuals who did not have clubfoot as a child.

Subungual Exostosis of the Toes: A Systematic Review

Mark P. DaCambra MD, MSc, Sumit K. Gupta MD, Fabio Ferri-de-Barros MD, MSc

Subungual exostosis is a relatively common benign bone tumor that occurs in the distal phalanges of the toes and can be a source of pain and nail deformity. There is controversy about the treatment of these lesions and there are few studies that have synthesized what is known and provided meaningful information on treatment.

Recombinant Human BMP-2 Increases the Incidence and Rate of Healing in Complex Ankle Arthrodesis

Mitchell S. Fourman MPhil, Eugene W. Borst BA, Eric Bogner MD, S. Robert Rozbruch MD, Austin T. Fragomen MD

Although its FDA-approved applications are limited, the pro-osteogenic benefits of recombinant human BMP-2 (rhBMP-2) administration have been shown in off-label surgical applications. However, the effects of rhBMP-2 on ankle fusions are insufficiently addressed in the literature, which fails to include a case-control study of adequate sample size to evaluate the efficacy of rhBMP-2 treatment.

Bone Microarchitecture of the Talus Changes With Aging

Matthias Krause MD, Martin Rupprecht MD, Marcus Mumme MD, Klaus Püschel MD, Michael Amling MD, Florian Barvencik MD

Fractures of the talus in the elderly are rare and usually result from high-impact injuries, suggesting only minor age-related bone structure changes. However, total ankle replacement failures with age often result from talar subsidence, suggesting age-related bone loss in the talus. Despite a number of histological analyses of talar microarchitecture, the effects of age and sex on talar microarchitecture changes remain poorly defined.

Extracorporeal Shock Wave Therapy Is Effective In Treating Chronic Plantar Fasciitis: A Meta-analysis of RCTs

Adeel Aqil MRCS, Muhammad R. S. Siddiqui MRCS, Matthew Solan FRCS, David J. Redfern FRCS, Vivek Gulati MRCS, Justin P. Cobb FRCS

Plantar fasciitis is the most common cause of heel pain. It may remain symptomatic despite conservative treatment with orthoses and analgesia. There is conflicting evidence concerning the role of extracorporeal shock wave therapy (ESWT) in the management of this condition.

Validation of PROMIS® Physical Function Computerized Adaptive Tests for Orthopaedic Foot and Ankle Outcome Research

Man Hung PhD, MSTAT, MED, Judith F. Baumhauer MD, MPH, L. Daniel Latt MD, PhD, Charles L. Saltzman MD, Nelson F. SooHoo MD, Kenneth J. Hunt MD

In 2012, the American Orthopaedic Foot & Ankle Societyestablished a national network for collecting and sharing data on treatment outcomes and improving patient care. One of the network’s initiatives is to explore the use of computerized adaptive tests (CATs) for patient-level outcome reporting.

Can Selective Soft Tissue Release and Cuboid Osteotomy Correct Neglected Clubfoot?

Cesare Faldini MD, Francesco Traina MD, Alberto Di Martino MD, PhD, Matteo Nanni MD, Francesco Acri MD

Neglected clubfoot in older children is characterized by a stiff, nonreducible deformity with relative elongation of the lateral column of the foot with respect to the medial column. Surgical correction often has involved a double osteotomy with elongation of the medial column and shortening of the lateral column, or the use of an external fixator to achieve more gradual correction. Both approaches have shortcomings.

Material and Biofilm Load of K Wires in Toe Surgery: Titanium versus Stainless Steel

Martin Clauss MD, Susanne Graf MD, Silke Gersbach Dipl Sportscience, Beat Hintermann MD, Thomas Ilchmann MD, PhD, Markus Knupp MD

Recurrence rates for toe deformity correction are high and primarily are attributable to scar contractures. These contractures may result from subclinical infection.

The SERI Distal Metatarsal Osteotomy and Scarf Osteotomy Provide Similar Correction of Hallux Valgus

Sandro Giannini MD, Marco Cavallo MD, Cesare Faldini MD, Deianira Luciani MD, Francesca Vannini MD, PhD

Ideal surgical treatment for hallux valgus is still controversial. A traditional distal metatarsal osteotomy with rigid fixation (Scarf procedure) and a more minimally invasive approach to a distal metatarsal osteotomy, termed SERI (Simple, Effective, Rapid, Inexpensive), have proven successful with short-term followup. However, no data are available directly comparing the two procedures.

Surgical Technique: Talar Neck Osteotomy to Lengthen the Medial Column After a Malunited Talar Neck Fracture

Thomas Suter MD, Alexej Barg MD, Markus Knupp MD, Heath Henninger PhD, Beat Hintermann MD

Treatment of malunited talar neck fractures is challenging, and few studies address anatomic reconstruction as an alternative to arthrodesis. We describe a new surgical approach attempting to improve function and avoid development of degenerative changes in the adjacent joints.