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Salvage of Failed Lapidus Arthrodesis. Lapidus关节融合术失败的抢救。
Clinics in podiatric medicine and surgery Pub Date : 2025-07-01 Epub Date: 2025-02-05 DOI: 10.1016/j.cpm.2024.12.002
Mary Brandt, Madison Burandt, Jordan Grossman, Alan R Catanzariti
{"title":"Salvage of Failed Lapidus Arthrodesis.","authors":"Mary Brandt, Madison Burandt, Jordan Grossman, Alan R Catanzariti","doi":"10.1016/j.cpm.2024.12.002","DOIUrl":"https://doi.org/10.1016/j.cpm.2024.12.002","url":null,"abstract":"<p><p>Modified Lapidus arthrodesis (MLA) has become a common procedure to address hallux valgus deformity, being performed with increasing frequency. Advantages and benefits of MLA include multiplanar correction and addressing the deformity at its apex. Recent technological advances, which have been designed to produce consistent and predictable results, have further increased the popularity of MLA. As such, we are likely to encounter a greater number of complications, such as nonunion and malunion. Bone loss and sagittal plane malalignment are often encountered and can present technical challenges. This article reviews workup, surgical considerations, and technical approach to dealing with these complications.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 3","pages":"539-552"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251726","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}
引用次数: 0
Combination Therapy in Peroneus Brevis Muscle Flap Surgery for Lower Extremity Reconstruction. 腓骨短肌瓣手术在下肢重建术中的联合治疗。
Clinics in podiatric medicine and surgery Pub Date : 2025-07-01 Epub Date: 2025-04-01 DOI: 10.1016/j.cpm.2025.02.006
Adrianne Ross, Isaac Kline
{"title":"Combination Therapy in Peroneus Brevis Muscle Flap Surgery for Lower Extremity Reconstruction.","authors":"Adrianne Ross, Isaac Kline","doi":"10.1016/j.cpm.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.02.006","url":null,"abstract":"<p><p>The peroneus brevis muscle flap is a versatile reconstructive option for lower extremity wounds and defects. Preoperative considerations, including patient comorbidities and wound characteristics, can be used to guide flap design as well as the use of combination therapy to optimize outcomes. Meticulous surgical technique is essential for flap success. The robust vascular supply of the peroneus brevis muscle flap offers reliable coverage and improvement in local tissue perfusion to promote healing. Its reliable anatomy and minimal donor site morbidity make it a valuable tool for lower extremity reconstruction and limb salvage.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 3","pages":"469-477"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251721","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}
引用次数: 0
First Metatarsophalangeal Joint Treatment Options: Allogeneic Cartilage Replacement Versus Fusion. 第一跖趾关节治疗选择：异体软骨置换与融合。
Clinics in podiatric medicine and surgery Pub Date : 2025-07-01 Epub Date: 2025-04-30 DOI: 10.1016/j.cpm.2025.03.003
Amber Shane, Christopher Reeves, Raluca Wojciechowski, Reed Smith
{"title":"First Metatarsophalangeal Joint Treatment Options: Allogeneic Cartilage Replacement Versus Fusion.","authors":"Amber Shane, Christopher Reeves, Raluca Wojciechowski, Reed Smith","doi":"10.1016/j.cpm.2025.03.003","DOIUrl":"10.1016/j.cpm.2025.03.003","url":null,"abstract":"<p><p>Arthritis of the first metatarsophalangeal joint is a commonly treated pathologic condition. Traditionally, when nonoperative care fails, arthrodesis has been the gold standard for operative care. Although this procedure has demonstrated good outcomes and high patient satisfaction, there remains a subset of patients who prefer to avoid arthrodesis. The aim of this article is to analyze the role of allogeneic cartilage replacement in comparison with arthrodesis for the treatment of hallux rigidus.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 3","pages":"553-562"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251722","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}
引用次数: 0
The History of Foot and Ankle Deformity Correction at West Penn Hospital and Beyond. 西宾夕法尼亚医院及其他医院足部和踝关节畸形矫治的历史。
Clinics in podiatric medicine and surgery Pub Date : 2025-07-01 Epub Date: 2025-04-16 DOI: 10.1016/j.cpm.2025.02.002
Bradley M Lamm
{"title":"The History of Foot and Ankle Deformity Correction at West Penn Hospital and Beyond.","authors":"Bradley M Lamm","doi":"10.1016/j.cpm.2025.02.002","DOIUrl":"10.1016/j.cpm.2025.02.002","url":null,"abstract":"<p><p>This article reviews the principles of limb deformity correction, focusing on foot and ankle. The historical content of deformity correction is discussed and highlights Dr Dror Paley's work of the Center of Rotation Angulation and osteotomy principles for surgical planning. This article emphasizes the importance of comprehensive clinical and radiographic evaluations, establishing normal angular relationships, and ensuring accurate and successful surgical outcomes. The article emphasizes the pronounced influence that the Western Pennsylvania Foot and Ankle Residency Program had on the development of the field foot and ankle deformity correction and how these principles have made profound change in our profession.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 3","pages":"401-425"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251729","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}
引用次数: 0
Update on Ankle Arthrodesis. 踝关节融合术的最新进展。
Clinics in podiatric medicine and surgery Pub Date : 2025-07-01 Epub Date: 2025-05-06 DOI: 10.1016/j.cpm.2025.03.002
Mark Hofbauer, Mary Brandt
{"title":"Update on Ankle Arthrodesis.","authors":"Mark Hofbauer, Mary Brandt","doi":"10.1016/j.cpm.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.03.002","url":null,"abstract":"<p><p>Ankle arthrodesis has proven to be a time-tested procedure for not only degenerative joint disease but a variety of indications. With the addition of updated techniques and improved fixation, results have become even more reproducible. There has been a recent shift away from ankle arthrodesis to total ankle arthroplasty. However, data shows that while there has been a significant increase in usage of total ankle replacements, the utilization of ankle arthrodesis remains unchanged. This article incorporates the various indications, approaches, and fixation methods that make the ankle arthrodesis procedure so successful.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 3","pages":"563-573"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251732","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}
引用次数: 0
Total Ankle Replacement: Past, Present, and Future. 全踝关节置换术：过去、现在和未来。
Clinics in podiatric medicine and surgery Pub Date : 2025-07-01 Epub Date: 2025-05-06 DOI: 10.1016/j.cpm.2025.03.004
Christopher Reeves, Amber Shane, Joshua D Treimer, John W Jaeger, Raluca Wojciechowski, Reed Smith
{"title":"Total Ankle Replacement: Past, Present, and Future.","authors":"Christopher Reeves, Amber Shane, Joshua D Treimer, John W Jaeger, Raluca Wojciechowski, Reed Smith","doi":"10.1016/j.cpm.2025.03.004","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.03.004","url":null,"abstract":"<p><p>Total ankle replacements have made profound progress with respect to kinematics, biomedical technology, engineering, and surgical technique since its inception nearly 50 y ago. Though it may never completely usurp tibiotalar arthrodesis as the gold standard for end stage arthritis, ankle arthroplasties continue to evolve in their capacity to offer a legitimate alternative with quality patient outcomes. Given the multitude of anatomic and biomechanical challenges intrinsic to the ankle joint, patient-specific surgical planning, advanced imaging, and equipment are invaluable in yielding successful implantation and long-term retention.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 3","pages":"575-584"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251731","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}
引用次数: 0
Update on Perioperative Pain Management in Foot and Ankle Surgery. 足部和踝关节手术围手术期疼痛管理的最新进展。
Clinics in podiatric medicine and surgery Pub Date : 2025-07-01 Epub Date: 2025-03-29 DOI: 10.1016/j.cpm.2025.02.008
Matthew J Hentges, Emily Lobos, Matthew L Diamond
{"title":"Update on Perioperative Pain Management in Foot and Ankle Surgery.","authors":"Matthew J Hentges, Emily Lobos, Matthew L Diamond","doi":"10.1016/j.cpm.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.02.008","url":null,"abstract":"<p><p>Opioid pain medication has long been the standard for control of postoperative pain following foot and ankle surgery. However, the ongoing opioid crisis has necessitated the development of alternative forms of postoperative pain control. Multimodal analgesia utilizes combination therapy in order to achieve a synergistic effect to manage pain. In this article, we highlight various therapeutic options available to use in a multimodal pain regimen and highlight the available research supporting their use in foot and ankle surgery. Lastly, we discuss the multimodal pain regimen that has been adopted and utilized throughout our institution over the past several years.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 3","pages":"441-450"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251733","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}
引用次数: 0
Calcific Insertional Achilles Tendinopathy: Augmenting Surgical Management with Tapestry. 钙化插入性跟腱病：用挂毯增强手术治疗。
Clinics in podiatric medicine and surgery Pub Date : 2025-07-01 Epub Date: 2025-04-07 DOI: 10.1016/j.cpm.2025.02.007
Timothy P McConn
{"title":"Calcific Insertional Achilles Tendinopathy: Augmenting Surgical Management with Tapestry.","authors":"Timothy P McConn","doi":"10.1016/j.cpm.2025.02.007","DOIUrl":"10.1016/j.cpm.2025.02.007","url":null,"abstract":"<p><p>Calcific insertional Achilles tendinopathy (CIAT) is a common musculoskeletal issue that results in not only daily pain and discomfort but also functional deficits affecting patients' quality of life. After failure of conservative management, CIAT often transitions to surgical problem requiring not only repair of the tendon but also a posterior debridement of excess enthesophytes, thickened Achilles tendon, and prominent calcaneal bone. In this article, the author describes a single case study of surgical management of CIAT with flexor hallucis longus transfer and augmentation of the Achilles tendon utilizing Tapestry Biointegrative implant to aid in collagen restoration, tendon health, and recovery.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 3","pages":"393-400"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251720","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}
引用次数: 0
Repair of Acute Versus Chronic Achilles Tendon Rupture. 急性与慢性跟腱断裂的修复。
Clinics in podiatric medicine and surgery Pub Date : 2025-07-01 Epub Date: 2025-04-01 DOI: 10.1016/j.cpm.2025.02.004
Shoueb Malik, Ross Groeschl, Matthew D Sorensen, Kyle S Peterson
{"title":"Repair of Acute Versus Chronic Achilles Tendon Rupture.","authors":"Shoueb Malik, Ross Groeschl, Matthew D Sorensen, Kyle S Peterson","doi":"10.1016/j.cpm.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.02.004","url":null,"abstract":"<p><p>Achilles tendon ruptures can be classified as acute and chronic varying on the timing of diagnosis and/or presentation to the clinic. Acute ruptures can be treated with either conservative or surgical treatment options. Furthermore, surgical treatment of acute ruptures can be divided into open, percutaneous, or minimally invasive. Chronic ruptures of the Achilles are diagnosed greater than 4 to 6 weeks from injury. Chronic ruptures are best treated with augmentation of the repair, with either a gastrocnemius advancement or turndown, or a tendon transfer.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 3","pages":"381-392"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251725","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}
引用次数: 0
Tibiospring Ligament Reconstruction in Flexible Progressive Collapsing Foot Deformity. 软性进行性塌陷足畸形的胫弹簧韧带重建。
Clinics in podiatric medicine and surgery Pub Date : 2025-07-01 Epub Date: 2025-04-01 DOI: 10.1016/j.cpm.2025.02.010
Vincent G Vacketta
{"title":"Tibiospring Ligament Reconstruction in Flexible Progressive Collapsing Foot Deformity.","authors":"Vincent G Vacketta","doi":"10.1016/j.cpm.2025.02.010","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.02.010","url":null,"abstract":"<p><p>Stage 1 Progressive Collapsing Foot Deformity (PCFD) presents as a reducible deformity characterized by peritalar subluxation as a result of soft tissue insufficiency leading to clinical and radiographic hindfoot, and ankle deformity. More recently, due to improved understanding and surgical technique, medial soft tissue reconstruction of the tibiospring ligament offers robust correction of the pathologic anatomy in Stage 1 PCFD and can serve as an alternative to indirect, non-anatomic, lateral calcaneal osteotomies.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 3","pages":"451-460"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251730","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}
引用次数: 0
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