Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Foot & Ankle 49 articles

Articles

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.

Early Active Motion versus Immobilization after Tendon Transfer for Foot Drop Deformity: A Randomized Clinical Trial

Santosh Rath MS, Ton A. R. Schreuders PT, PhD, Henk J. Stam MD, PhD, Steven E. R. Hovius PhD, MD, Ruud W. Selles PhD

Immobilization after tendon transfers has been the conventional postoperative management. Several recent studies suggest early mobilization does not increase tendon pullout.

One-stage Metatarsal Lengthening by Allograft Interposition: A Novel Approach for Congenital Brachymetatarsia

Sandro Giannini MD, Cesare Faldini MD, Stavroula Pagkrati MD, Maria Teresa Miscione MD, Deianira Luciani MD

Congenital brachymetatarsia, a shortened metatarsal bone, can be corrected surgically by callus distraction or one-stage lengthening using bone graft.