{"title":"Foot and Ankle Anatomic Dissection Principles.","authors":"Joshua Mann, Kiara Francis","doi":"10.1016/j.cpm.2026.05.001","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.05.001","url":null,"abstract":"<p><p>Anatomic dissection requires an understanding of anatomy that will be encountered intraoperatively and consists of identifying key anatomic landmarks, meticulous soft tissue handling, protecting pertinent neurovascular structures, and preserving tissue layers. This guide presents an overview of the principles of anatomic dissection as it pertains to the foot and ankle surgeon. Two anatomic dissection series are presented including a systematic approach to the first metatarsophalangeal joint and anterolateral exposure of the ankle joint. By reinforcing key anatomic landmarks and a layered dissection strategy, this guide serves as a practical foundation for both cadaveric study and optimizing surgical outcomes.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"549-565"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"","authors":"Thomas J Chang","doi":"10.1016/j.cpm.2026.07.002","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.07.002","url":null,"abstract":"","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"xi-xii"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Podiatric Medical and Surgical Education: The Podiatry Institute.","authors":"Chandler Ligas, Joshua Mann","doi":"10.1016/j.cpm.2026.07.001","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.07.001","url":null,"abstract":"","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"xiii-xiv"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Flatfoot Surgery: A Personal View.","authors":"Luke D Cicchinelli","doi":"10.1016/j.cpm.2026.05.006","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.05.006","url":null,"abstract":"<p><p>A personal view of over 25 years of surgical management of flatfoot deformity. The reader will gain insight on procedural selection, philosophy on columnar approach, and keys to successful treatment of flatfoot deformity.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"631-645"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tourniquet versus Epinephrine Use for Hemostasis in Foot and Ankle Surgery: A Review.","authors":"Emily Hermes","doi":"10.1016/j.cpm.2026.05.002","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.05.002","url":null,"abstract":"<p><p>Pneumatic tourniquets have traditionally been used to achieve a bloodless operative field in foot and ankle surgery but are associated with postoperative pain, ischemia-reperfusion injury, and neurologic complications. This review compares tourniquet-based and epinephrine-based hemostasis regarding mechanisms, safety, effectiveness, and outcomes. Tourniquets provide reliable visualization, particularly in complex or prolonged procedures, but increase pain and tissue injury. Epinephrine induces transient vasoconstriction while preserving partial perfusion, demonstrating strong safety with reduced postoperative pain and opioid use. Optimal results require proper dosing and timing. Hemostatic strategy should be individualized based on procedure and patient factors. Further studies comparing standardized protocols are needed.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"567-574"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas J Chang, Thomas H Jordan, Kristina S Corley, Angela Moon
{"title":"Segmental Bone Defects: Solutions to a Difficult Problem.","authors":"Thomas J Chang, Thomas H Jordan, Kristina S Corley, Angela Moon","doi":"10.1016/j.cpm.2026.06.001","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.06.001","url":null,"abstract":"<p><p>Segmental bone loss in the foot and ankle-from infection, nonunion, avascular necrosis, or trauma-has long lacked reliable solutions, with historic femoral head allograft fusions achieving only approximately 50% union because revascularization often fails across defects larger than 2 cm. Newer 3 dimensional-printed custom metallic implants (titanium and cobalt chrome) bridge these defects with markedly higher integration rates (approximately 91% vs 61% for allografts). Total talus and hemitalus replacements restore hindfoot anatomy with promising short-term outcomes and good patient-reported measures. Success depends on correct implant sizing, robust beaming/plating fixation, and biomechanical planning for shear loaded medial and lateral colums.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"581-592"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John Ruch, Joshua Mann, Thomas Chang, Kieran Mahan, Angela Moon, Sun Pak
{"title":"Podiatric Equivalent of Lauge Hansen.","authors":"John Ruch, Joshua Mann, Thomas Chang, Kieran Mahan, Angela Moon, Sun Pak","doi":"10.1016/j.cpm.2026.05.008","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.05.008","url":null,"abstract":"<p><p>The purpose of this text is to describe the mechanism of injury of the 4 most common malleolar fractures and to present it in terminology and description as it is currently understood in the podiatric profession. We will go through the individual and specific ankle fracture patterns of the original Lauge Hansen Classification and identify the discrepancies in description and interpretation. Each individual category will then be presented within the understanding of common podiatric biomechanics so that the uniqueness of each injury is logically presented and understood.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"653-698"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chandler Ligas, Justin Carney, Alan Emerson, Odessa Achkar
{"title":"The Lapidus Bunionectomy: Is There a Role for Artificial Intelligence?","authors":"Chandler Ligas, Justin Carney, Alan Emerson, Odessa Achkar","doi":"10.1016/j.cpm.2026.05.004","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.05.004","url":null,"abstract":"<p><p>Acknowledging the well-known tension between sound surgical principles and industry led innovation, this review examines whether artificial intelligence (AI) represents a clinically meaningful advance in hallux abducto valgus management or merely another commercial push. In this review, you will see how AI is shaping the landscape in the medical field and determine if AI is influencing surgical practices for foot and ankle surgeons.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"593-603"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managing Long-Term Ambulation After Midfoot or Rearfoot Arthrodesis.","authors":"David Alder","doi":"10.1016/j.cpm.2026.05.007","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.05.007","url":null,"abstract":"<p><p>The \"Step Diet\" is a physician-designed activity management protocol for patients with foot pathology or prior reconstructive surgery who experience persistent pain from overuse. Rather than pursuing the mythologized 10,000 step daily goal-rooted in 1960s Japanese marketing, not medical evidence-patients track daily steps and record pain levels on a 1 to 10 scale over 4 weeks. A personalized safe step threshold is then identified, with two permitted \"cheat days\" weekly. This structured approach enables patients to budget around priorities, predict discomfort, and plan recovery periods. Clinical cases demonstrate significant symptom reduction and improved quality of life through sustained compliance.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"647-652"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Steven M Hogan, Michael C McGlamry, Sun Pak, Masa Seif
{"title":"Isolated Subtalar Arthrodesis.","authors":"Steven M Hogan, Michael C McGlamry, Sun Pak, Masa Seif","doi":"10.1016/j.cpm.2026.06.002","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.06.002","url":null,"abstract":"<p><p>Isolated subtalar arthrodesis is a common surgical procedure used to treat subtalar joint pathologies including primary and post-traumatic arthritis, calcaneal fractures, tarsal coalitions, and posterior tibial tendon dysfunction. Its goals are pain relief, rearfoot realignment, and improved stability while preserving more motion than triple arthrodesis. This review covers the relevant anatomy of the subtalar joint and its facets, clinical examination findings, and imaging modalities. It details surgical techniques for native fusions, neglected calcaneal fractures, and rigid valgus deformities, including incision approaches, joint resection, neutral positioning, and screw fixation constructs.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"605-615"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}