Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Foot & Ankle 48 articles


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.

Surgical Technique: Repair of Forefoot Skin and Soft Tissue Defects Using a Lateral Tarsal Flap With a Reverse Dorsalis Pedis Artery Pedicle: A Retrospective Study of 11 Patients

Dehao Fu MD, Liyi Zhou MD, Shuhua Yang MD, Baojun Xiao MD

Various authors have proposed flaps to reconstruct traumatic forefoot skin and soft tissue defects, especially with exposure of tendon and/or bone although which is best for particular circumstances is unclear.

Complex Ankle Arthrodesis Using the Ilizarov Method Yields High Rate of Fusion

Austin T. Fragomen MD, Eugene Borst BA, Lindsay Schachter BS, Stephen Lyman PhD, S. Robert Rozbruch MD

Ankle arthrodesis may be achieved using the Ilizarov method. Comorbidities, such as diabetes, Charcot neuroarthropathy, osteomyelitis, leg length discrepancy, and smoking, can make an ankle fusion complex and may be associated with lower rates of healing.

Reliability and Relationship of Radiographic Measurements in Hallux Valgus

Kyoung Min Lee MD, Soyeon Ahn PhD, Chin Youb Chung MD, Ki Hyuk Sung MD, Moon Seok Park MD

Although various radiographic measurements have been developed and used for evaluating hallux valgus, not all are universally believed to be necessary and their relationships have not been clearly established. Determining which are related could provide some insight into which might be useful and which would not.

MRI is Unnecessary for Diagnosing Acute Achilles Tendon Ruptures: Clinical Diagnostic Criteria

David N. Garras MD, Steven M. Raikin MD, Suneel B. Bhat MD, MPhil, Nicholas Taweel DPM, PT, Homyar Karanjia DPM

Achilles tendon ruptures are common in middle-aged athletes. Diagnosis is based on clinical examination or imaging. Although MRI is commonly used to document ruptures, there is no literature supporting its routine use and we wondered whether it was necessary.