Trevor S Page, Lauren A Likewise, Oliver A Knauer, Todd M Chappell
{"title":"Current Strategies in Pilon Fracture Management and Looking to the Future.","authors":"Trevor S Page, Lauren A Likewise, Oliver A Knauer, Todd M Chappell","doi":"10.1016/j.cpm.2024.10.009","DOIUrl":"https://doi.org/10.1016/j.cpm.2024.10.009","url":null,"abstract":"<p><p>Historically high complication rates encouraged the evolution of pilon fracture management. This article reviews these complex fractures, offering insight into the evolution of treatment with a glimpse into future management techniques, while superimposing our experience with included retrospective analysis of 41 pilon fractures treated at our institution by a single surgeon (T.M.C.) spanning 60 months. With improved understanding and advancing technology, multiple literature-supported strategies are available for the management of these limb-threatening traumas. Intriguing strategies needing further investigation may one day shift the paradigm; as for now, the foundational principles of pilon fracture management continue to anchor the treatment strategy.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 2","pages":"275-292"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485362","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}
Sean T Grambart, Jay Egdorf, Chengyu Xie, Jacqueline E Williams, Mia Saunders, Alexandrea R Bennett, John Bennett
{"title":"Partial Calcanectomy: Patient Selection Process and the Secrets to Optimizing Outcomes.","authors":"Sean T Grambart, Jay Egdorf, Chengyu Xie, Jacqueline E Williams, Mia Saunders, Alexandrea R Bennett, John Bennett","doi":"10.1016/j.cpm.2024.11.001","DOIUrl":"https://doi.org/10.1016/j.cpm.2024.11.001","url":null,"abstract":"<p><p>Limb salvage in patients with chronic heel wounds is a challenging and can be wrought with complications. A partial calcanectomy is becoming more popular in an effort to try to preserve limb length. Proper patient selection is of outmost importance in order to try and achieve optimal outcome. The article reviews and analyzes the current literature in order to aid the surgeon.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 2","pages":"309-324"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485397","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}
Oliver A Knauer, Joshua T Smith, Jenniferlyn McGorty Droll, Todd M Chappell
{"title":"The Evolution of Geriatric Ankle Fracture Management to Promote Mobility.","authors":"Oliver A Knauer, Joshua T Smith, Jenniferlyn McGorty Droll, Todd M Chappell","doi":"10.1016/j.cpm.2024.10.013","DOIUrl":"https://doi.org/10.1016/j.cpm.2024.10.013","url":null,"abstract":"<p><p>Geriatric ankle fracture management requires a comprehensive approach that balances appropriate patient optimization, fracture reduction, stability, and early mobilization. Surgical and nonsurgical options should be cautiously considered based on patient and fracture characteristics. Early weight-bearing treatment options should be pursued when possible. There are a myriad of treatment options including fibular intramedullary devices or minimally invasive joint prep tibiotalocalcaneal nailing that minimize soft tissue disruption and can provide robust stability sufficient to allow early weight-bearing postoperatively when appropriate. It is essential for geriatric patient treatment teams to optimize outcomes and minimize complications in this often-challenging patient population.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 2","pages":"293-307"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485419","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":"Preface.","authors":"Stephen A Mariash","doi":"10.1016/j.cpm.2024.10.011","DOIUrl":"https://doi.org/10.1016/j.cpm.2024.10.011","url":null,"abstract":"","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 2","pages":"xv"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485405","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}
Stanley G Newell, John M Schuberth, Jeffrey C Christensen
{"title":"The Voice of Seattle.","authors":"Stanley G Newell, John M Schuberth, Jeffrey C Christensen","doi":"10.1016/j.cpm.2024.10.015","DOIUrl":"https://doi.org/10.1016/j.cpm.2024.10.015","url":null,"abstract":"","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 2","pages":"xix-xxiv"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485421","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":"A Unique Distal Metatarsal Transpositional Osteotomy for Transverse Plane Deformity of the Central Metatarsophalangeal Joints.","authors":"Richard T Bouché","doi":"10.1016/j.cpm.2024.10.007","DOIUrl":"https://doi.org/10.1016/j.cpm.2024.10.007","url":null,"abstract":"<p><p>Reintroduce and describe a previously reported osteotomy indicated for correction of transverse plane deformities of the central metatarsophalangeal joints (MTPJs). The author has coined this osteotomy the central metatarsal distal transpositional osteotomy. It has also been reported eponymously as the Bouché/McAlister osteotomy, named after 2 podiatrists who independently further refined and popularized this procedure (Chad Seidenstricker, DPM, August 2018, personal communication). The author discusses how this osteotomy can be used in concert with soft tissue repair and other bone procedures to address various transverse and sagittal plane pathologies of the central MTPJs.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 2","pages":"237-258"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485358","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":"Complex Forefoot Reconstruction with Percutaneous Techniques.","authors":"Eric S Baskin","doi":"10.1016/j.cpm.2024.05.001","DOIUrl":"10.1016/j.cpm.2024.05.001","url":null,"abstract":"<p><p>Complex forefoot deformities are challenging to treat and are labor intensive for the surgeon and the patient. New minimally invasive surgery (MIS) shows great potential and in some instances outperforms traditional open surgery. Another advantage MIS has is that it is technically easier to perform (once proficient) and produces less pain and recovery for the patient. This article takes the reader through MIS preoperative planning, soft tissue considerations, the different osteotomy configuration options, rationale, transverse plane correction, sagittal plane correction, revision MIS surgery of malunions, metatarsus adductus correction, hybrid MIS correction, and postoperative bandaging and management.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 1","pages":"47-60"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644272","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":"Percutaneous Lapidus Bunionectomy: A New, Less Invasive Method for a 100 Year Old Surgery.","authors":"Joel Vernois, David Redfern, Eric S Baskin","doi":"10.1016/j.cpm.2024.08.001","DOIUrl":"10.1016/j.cpm.2024.08.001","url":null,"abstract":"<p><p>Lapidus is a common procedure in our armamentarium for the treatment of hallux valgus deformity. This study presents to the reader that it can be performed percutaneously. It is a technically difficult procedure to perform that requires didactic and cadaveric percutaneous training.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 1","pages":"61-75"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644804","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}
Gustavo Araujo Nunes, Francisco Sánchez Villanueva, Felipe Chaparro Ravazzano, Tiago Baumfeld
{"title":"Controversial Matters of Minimally Invasive Bunion Repair.","authors":"Gustavo Araujo Nunes, Francisco Sánchez Villanueva, Felipe Chaparro Ravazzano, Tiago Baumfeld","doi":"10.1016/j.cpm.2024.07.001","DOIUrl":"10.1016/j.cpm.2024.07.001","url":null,"abstract":"<p><p>New minimally invasive bunion surgery for hallux valgus (HV) has received attention in the last few years. A rapid growth in knowledge and techniques has been seen, with many publications, books, and experienced surgeons worldwide. Several variational advancements have emerged with the most common as a percutaneous subcapital osteotomy first metatarsal with long scaffolding minimally invasive (MI) screw placement. MI techniques are a great advancement in the treatment of all HV severities. Supportive literature has demonstrated that MI can achieve equal to better results compared to traditional open surgery, for metrics such as satisfaction, pain, and time to full recovery.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 1","pages":"153-166"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644275","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":"A New Paradigm for Failed Bunions with Minimally Invasive Methods.","authors":"David T Wong","doi":"10.1016/j.cpm.2024.09.002","DOIUrl":"10.1016/j.cpm.2024.09.002","url":null,"abstract":"<p><p>Hallux valgus recurrence after traditional open bunion surgery is a notable concern. New minimally invasive bunion surgery (MIBS) offers a promising new revision option for those with recurrent hallux valgus. This innovative approach signifies a noteworthy departure from traditional open surgical methods by minimizing tissue damage, allowing immediate weight bearing, and providing improved patient satisfaction outcomes. This article provides is insights into this emerging method, case examples, and key surgical treatment pearls for treating the recurrent bunion with MIBS. As more surgeons gain MIBS experience, this approach will likely become the gold standard revision method for revisions.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 1","pages":"103-116"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645377","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}