Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Foot & Ankle 52 articles


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.

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.