Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Foot & Ankle 52 articles


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.

Total Ankle Arthroplasty in Patients with Hereditary Hemochromatosis

Alexej Barg MD, Andreas Elsner MD, Daniel Hefti MSc, Beat Hintermann MD

More than half of patients with hereditary hemochromatosis (HH) have painful arthritis, often including hindfoot osteoarthritis. Total ankle arthroplasty (TAA) is increasingly recommended for patients with painful ankle osteoarthritis. However, the pain relief and function experienced by patients continues to be debated particularly as compared with ankle fusion.

The Salto Total Ankle Arthroplasty: Survivorship and Analysis of Failures at 7 to 11 years

Michel Bonnin MD, Fabrice Gaudot MD, Jean-Raphael Laurent MD, Scott Ellis MD, Jean-Alain Colombier MD, Thierry Judet MD

Despite the appearance of new-generation, mobile-bearing, cementless prostheses, total ankle arthroplasty remains controversial. Among the criteria guiding the choice between arthrodesis and arthroplasty, the long-term survival and postoperative function are of critical importance. The mobile-bearing Salto prosthesis has been used in Europe since 1997, but only 2 to 5 years of followup data have been reported.

Does Alignment in the Hindfoot Radiograph Influence Dynamic Foot-floor Pressures in Ankle and Tibiotalocalcaneal Fusion?

Arno Frigg MD, Benno Nigg PhD, Elysia Davis MSc, Beth Pederson MD, V. Valderrabano MD, PhD

The Saltzman-el-Khoury hindfoot alignment view (HAV) is considered the gold standard for assessing the axis from hindfoot to tibia. However, it is unclear whether radiographic alignment influences dynamic load distribution during gait.

Total Ankle Replacement Compatible with Ligament Function Produces Mobility, Good Clinical Scores, and Low Complication Rates: An Early Clinical Assessment

Sandro Giannini MD, Matteo Romagnoli MD, John J. O’Connor PhD, Francesco Malerba MD, Alberto Leardini DPhil

A three-part ankle replacement was developed to achieve compatibility with the natural ligaments by allowing fibers on the medial and lateral sides to remain isometric during passive motion. Unlike all current prostheses, the new design uses nonanatomically shaped components on the tibia and talus and a fully conforming interposed meniscal bearing.

The Scarf Osteotomy: A Salvage Procedure for Recurrent Hallux Valgus in Selected Cases

Peter Bock MD, Ulrich Lanz MD, Andreas Kröner MD, Georg Grabmeier MD, Alfred Engel MD, PhD

The Scarf osteotomy was described as a technique to correct a metatarsus primus varus in primary hallux valgus surgery, but it is unclear whether the technique could correct recurrent hallux valgus when an initial procedure failed to provide any or an adequate lateral displacement of the metatarsal head.

Radiographic Predictability of Cartilage Damage in Medial Ankle Osteoarthritis

Jeong-Seok Moon MD, Jae-Chan Shim MD, Jin-Soo Suh MD, Woo-Chun Lee MD

Radiographic grading has been used to assess and select between treatment options for ankle osteoarthritis. To use radiographic grading systems in clinical practice and scientific studies one must have reliable systems that predict the fate of the cartilage.