{"title":"Arthroscopic Tibio-talar Calcaneal Nailing for Complex Distal Third and Intra-Articular Tibia Fractures","authors":"H. Harris, Hanna H. Sorensen, Kevin D. Martin","doi":"10.1097/btf.0000000000000376","DOIUrl":"https://doi.org/10.1097/btf.0000000000000376","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"16 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77801211","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":"Anatomic Basis of Ankle Instability","authors":"J. Vega, M. Dalmau-Pastor","doi":"10.1097/BTF.0000000000000374","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000374","url":null,"abstract":"The surgeon must have a thorough understanding of ankle ligamentous anatomy in order to grasp new concepts including ankle microinstability and rotational instability. The anterior talofibular ligament (ATFL) has 2 fascicles, a superior fascicle which is intra-articular and an inferior fascicle which is extra-articular. Located within the ankle joint but extrasonovial, the superior fascicle of the ATFL lacks the capacity to heal after a moderate ankle sprain. Because this fascicle controls talar internal rotation, any deficiency may lead to ankle microinstability, which in turn may lead to chronic overloading of the deltoid ligament’s most anterior fascicles and chronic rotational instability. The ATFL inferior fascicle, the calcaneofibular ligament and their connecting fibers form the lateral fibulotalocalcaneal ligament complex. An injury of the lateral fibulotalocalcaneal ligament complex will lead to classic chronic ankle instability. These new findings on the ankle ligaments have major implications for ankle instability. Level of Evidence: Diagnostic Level V — expert opinion. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"22 1","pages":"9 - 13"},"PeriodicalIF":0.3,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42028907","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}
Kshitij Manchanda, Solangel Rodriguez-Materon, Adrianna Raudes, T. SanGiovanni
{"title":"Technique Tip: Using a Targeting Guide to Place Flexible Syndesmosis Fixation, in Ankle Fractures With a Dual Plate Construct","authors":"Kshitij Manchanda, Solangel Rodriguez-Materon, Adrianna Raudes, T. SanGiovanni","doi":"10.1097/btf.0000000000000373","DOIUrl":"https://doi.org/10.1097/btf.0000000000000373","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"35 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83544138","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":"Cross Screw Fixation for First Metatarsophalangeal Joint Arthrodesis: A Technical Guide","authors":"Rebecca R Sikora, L. Leffler, Cody D. Blazek","doi":"10.1097/BTF.0000000000000370","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000370","url":null,"abstract":"Background: First metatarsophalangeal joint (MPJ) arthritis, treatments, and fixation methods have been well described in the literature. Indications for the fusion of the first MPJ include hallux rigidus, severe hallux valgus, failed bunionectomy, failed joint arthroplasty, rheumatoid arthritis, and neuromuscular disorders. Crossing screw fixation has been found to be a stable construct that provides reliable outcomes with high patient satisfaction, specifically for those patients with hallux rigidus and minimal hallux valgus deformity. Crossing screw fixation has also been found to be reliable and more cost-effective than other fixation techniques. However, this method may pose some challenges to novice surgeons and those at academic training institutions. Objective: The objective of this technical guide is to propose a reproducible technique to first MPJ fusion with 2 crossing, cannulated screws. This technique is designed to increase the reliability and speed of the crossing screw technique. Conclusion: Overall, using this technique with cross screw fixation, we have found decreased operative times, better reproducibility of results, efficiency with use in training with resident learners, and reduced hardware costs. Levels of Evidence: Level V, expert opinion","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"22 1","pages":"93 - 98"},"PeriodicalIF":0.3,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47887440","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":"Endoscopic Approach to Ligament Repair and Reconstruction for Chronic Ankle Instability","authors":"G. Cordier, G. Nunes","doi":"10.1097/BTF.0000000000000371","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000371","url":null,"abstract":"Abstract: It is well established that ankle arthroscopy may be used as an alternative to address chronic ankle instability (CAI). As this minimally invasive technique becomes popularized, an advanced anatomic understanding and new devices have been developed to address the ankle ligament pathologies. Within this context, fully arthroscopic and anatomic techniques were developed to repair and reconstruct the ankle ligaments. This article provides an update on the indications, diagnoses, and technical descriptions of the anatomic arthroscopic techniques used for chronic ankle instability. Level of Evidence: Diagnostic Level IV.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"22 1","pages":"1 - 8"},"PeriodicalIF":0.3,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46409558","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}
M. Bellil, A. Ben Tekaya, M. Souissi, Kammoun Chrif, M. Kooli, M. Ben Salah
{"title":"Tuberculous Osteomyelitis of the Fifth Metatarsal Treated Using the Induced Membrane Technique: A Case Report","authors":"M. Bellil, A. Ben Tekaya, M. Souissi, Kammoun Chrif, M. Kooli, M. Ben Salah","doi":"10.1097/btf.0000000000000369","DOIUrl":"https://doi.org/10.1097/btf.0000000000000369","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"22 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73932078","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}
C. Brackney, Lindsay K. LeSavage, Nicholas S. Powers
{"title":"Reducing Instrumentation for the Dorsal Approach to Plantar Plate Repair With a FiberLoop Suture Technique","authors":"C. Brackney, Lindsay K. LeSavage, Nicholas S. Powers","doi":"10.1097/BTF.0000000000000364","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000364","url":null,"abstract":"The benefits of repairing a plantar plate tear are well described in the literature. Unfortunately, because of the anatomic location of the tear, repair with a dorsal incision is often quite difficult. To combat this, multiple published techniques, as well as industry-designed products, have been developed for visualization of the tear and suture passing. We present a novel method for dorsal repair of the plantar plate structures utilizing a straight needle FiberLoop suture and standard operative instrumentation. This technique greatly reduces the instrumentation and “fiddle factor” required for the repair. Level of Clinical Evidence: Diagnostic Level V.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"21 1","pages":"233 - 241"},"PeriodicalIF":0.3,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47494551","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":"Chronic Ankle Instability: Updated Concepts and Modern Approaches to Treatment","authors":"A. Johnson","doi":"10.1097/btf.0000000000000367","DOIUrl":"https://doi.org/10.1097/btf.0000000000000367","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76854460","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":"Limb Salvage in Diabetic Patients With Combination of Radical Excision, Antibiotic Impregnated Bone Cement, and External Fixator Application","authors":"B. Birinci, Mahmut Ozdemir, A. Oznur","doi":"10.1097/BTF.0000000000000363","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000363","url":null,"abstract":"In patients with diabetes, foot ulceration is a major cause of morbidity and hospitalization. The combination of deep ulcers and underlying osteomyelitis in patients with diabetes frequently leads to chronic nonhealing foot ulcers. These patients have often ended up with amputation. From 2003 to 2017, 17 of 175 diabetic patients (11 males and 6 females, 37 to 82 y old) were treated for diabetic foot and presented with complaints of ulceration, osteomyelitis, and foot gangrene. Magnetic resonance imaging–guided necrotic tissue debridement was performed, after the placement of antibiotic-impregnated bone cement, and soft tissue defect reduction was performed with an external fixator. Approximately 4 weeks later, polymethylmethacrylate was removed, and then the external fixator was removed after the soft tissue defect was closed. No patients had recurrent ulceration or osteomyelitis seen on radiographs up to their latest follow-up. There was pin tract infection in 2 patients who were treated with oral antibiotics and wound dressings. All patients have a fibrous union in the metatarsophalangeal joint. Compared with other radical techniques such as amputation, amputation, and long-term wound dressings, salvage of limbs with an external fixation can be used in selected patients who have osteomyelitis and soft tissue defects after debridement. Level of Evidence: Diagnostic level III—nonrandomized controlled cohort study.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"22 1","pages":"78 - 82"},"PeriodicalIF":0.3,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43869715","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":"Deltoid Ligament Reconstruction: An Arthroscopic-assisted, Limited Open Knotless Approach Utilizing Suture Tape Augmentation","authors":"Kevin D. Martin, David P. Pettit","doi":"10.1097/btf.0000000000000366","DOIUrl":"https://doi.org/10.1097/btf.0000000000000366","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"5 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91370549","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}