{"title":"After the Foot has Healed: Shoes and Braces.","authors":"Mark Mendeszoon, Ewald Mendeszoon, Hayley Iosue","doi":"10.1016/j.cpm.2025.06.010","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.010","url":null,"abstract":"<p><p>The prevention of diabetic foot complications requires a comprehensive approach that includes the use of appropriate footwear, custom orthotics, insoles, hosiery, and braces. Clinical evidence supports the efficacy of these interventions in reducing the risk of foot ulcers and amputations as well as providing the diabetic patient the ability to maintain mobility safely. As the global burden of diabetes continues to rise, health care providers must prioritize foot care and recommend appropriate devices as part of routine diabetic management.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"767-780"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310489","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":"Capturing the Legacy of the Beth Israel Deaconess Medical Center Training Program.","authors":"Thomas J Chang","doi":"10.1016/j.cpm.2025.07.015","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.015","url":null,"abstract":"","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"xiii-xiv"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310553","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":"Amputation as an Alternative.","authors":"Drishti Dhawan, Barry I Rosenblum","doi":"10.1016/j.cpm.2025.06.011","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.011","url":null,"abstract":"<p><p>Diabetic limb salvage and amputation are essential components in the management of diabetes-related pedal complications. The primary goal of limb salvage is to preserve mobility and function through techniques like revascularization, reconstruction, and debridement. However, in cases where salvage attempts repeatedly fail or pose significant health risks, amputation emerges as a viable alternative. Contrary to the perception of amputation as a failure, strategic amputations can offer faster recovery, improved functionality, and better quality of life outcomes than prolonged, unsuccessful salvage efforts. This article explores the clinical, psychological, and socioeconomic factors involved in decision-making between limb salvage and amputation.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"757-766"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310509","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}
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}
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}
{"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}
{"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}
{"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}
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}
{"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}