Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Foot & Ankle 48 articles


High Revision and Reoperation Rates Using the AgilityTM Total Ankle System

Braden J. Criswell MD, Keith Douglas MD, Rishi Naik BS, A. Brian Thomson MD

Total ankle arthroplasty (TAA) is an evolving treatment for end-stage ankle arthritis, however, there is controversy regarding its longevity.

Does Lengthening and Then Plating (LAP) Shorten Duration of External Fixation?

Ryhor Harbacheuski MD, Austin T. Fragomen MD, S. Robert Rozbruch MD

Classic bone lengthening requires patients wear external fixation for the distraction and consolidation phases and there is fracture risk after frame removal. Our technique of lengthening with the Taylor Spatial Frameand then insertion of a locked plate allows earlier removal of the external fixator during consolidation. Plate insertion is accomplished through a clean pin-free zone avoiding contamination and before frame removal maintaining bone position.

Is Total Ankle Arthroplasty A Cost-effective Alternative to Ankle Fusion?

Xan F. Courville MD, MS, Paul J. Hecht MD, Anna N. A. Tosteson ScD

Total ankle arthroplasty (TAA) implantation is increasing, as the potential for pain relief and restoration of function and risks are compared with those for ankle fusion. A previous analysis with a simple decision tree suggested TAA was cost-effective compared with ankle fusion. However, reevaluation is warranted with the availability of newer, more costly implants and longer-term patient followup data.

Is Percutaneous Repair Better Than Open Repair in Acute Achilles Tendon Rupture?

Hugo Henríquez MD, Roberto Muñoz MD, Giovanni Carcuro MD, Christian Bastías MD

Open repair of Achilles tendon rupture has been associated with higher levels of wound complications than those associated with percutaneous repair. However, some studies suggest there are higher rerupture rates and sural nerve injuries with percutaneous repair.

Does Fresh Osteochondral Allograft Transplantation of Talar Osteochondral Defects Improve Function?

Gregory C. Berlet MD, Christopher F. Hyer DPM, Terrence M. Philbin DO, Jodi F. Hartman MS, Michelle L. Wright MPH

Fresh osteochondral allograft transplantation can be used to replace talar osteochondral defects (OCDs) with single bulk osteochondral graft. While limited studies report improvement of function, improvement in quality of life and radiographic durability is unknown.

Nonoperative Treatment of an Os Peroneum Fracture in a High-level Athlete: A Case Report

Jeremy T. Smith MD, Anne H. Johnson MD, James D. Heckman MD

The os peroneum is a sesamoid bone in the peroneus longus tendon. Fractures of the os peroneum are rare. Some authors recommend surgery for active patients.

A Rotational Scarf Osteotomy Decreases Troughing When Treating Hallux Valgus

Christopher D. Murawski, Christopher J. Egan RPA-C, John G. Kennedy MD FRCS (Orth)

The traditional scarf osteotomy has been associated with complication rates between 1.1% and 45%. We have modified the traditional technique with a rotational osteotomy to reduce these complications.

Metatarsal Length does not Correlate with Maximal Peak Pressure and Maximal Force

Martin Kaipel MD, Daniel Krapf MD, Christian Wyss MD

Primary metatarsalgia of the lesser metatarsals is common and caused by mechanical overload of the affected metatarsal heads. Increased metatarsal length generally is believed to be a factor in the development of primary metatarsalgia. However, there is no clear biomechanical evidence supporting this theory.

Outcomes after Scarf Osteotomy for Treatment of Adult Hallux Valgus Deformity

Stephanie P. Adam DO, Steven C. Choung MD, Yang Gu BS, Martin J. O’Malley MD

Many procedures have been developed to correct hallux valgus deformity using distal soft tissue realignment, metatarsal osteotomy, and periodically, a proximal phalanx osteotomy (Akin). The ideal metatarsal osteotomy allows for varying degrees of correction with reliable improvement in deformity and patient satisfaction.

Application of the Ilizarov Technique to the Correction of Neurologic Equinocavovarus Foot Deformity

Dong Yeon Lee MD, In Ho Choi MD, Won Joon Yoo MD, Soong Joon Lee MD, Tae-Joon Cho MD

The treatment of rigid equinocavovarus foot deformities caused by neurologic disorders is often difficult and relapse is common.