C. Powell, Daniel T. Miles, Tyler W. Fraser, J. Doty
{"title":"Operative Treatment of Medial and Lateral Sesamoid AVN Through an Isolated Medial Approach","authors":"C. Powell, Daniel T. Miles, Tyler W. Fraser, J. Doty","doi":"10.1097/BTF.0000000000000339","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000339","url":null,"abstract":"Hallucal avascular necrosis can impose a significant burden upon the affected individual. When nonoperative interventions fail, sesamoidectomy is indicated. In the rare case of both medial and lateral sesamoid avascular necrosis, previous literature recommends a staged procedure through a combination of plantar and dorsal based approaches. In this case, we present a technique for single-staged medial and lateral sesamoidectomy through a single medial approach with subsequent capsular repair, abductor tendon advancement, and flexor hallucis longus tenodesis. Preoperative and postoperative radiographic analysis as well as 1-year postoperative functional scores were completed. This single-staged medial approach may provide excellent clinical and radiographic outcomes while providing a reduction of cost, anesthesia, and rehabilitation requirements. Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"21 1","pages":"163 - 167"},"PeriodicalIF":0.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43874598","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 Arthroscopic Assisted Fixation of a Tibial Plafond Impaction Fracture Fixation","authors":"M. Newman, V. Goriainov, D. Marsland","doi":"10.1097/btf.0000000000000338","DOIUrl":"https://doi.org/10.1097/btf.0000000000000338","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44219326","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}
Andrew M. Steffensmeier, R. Matar, D. Chung, Tonya Dixon, R. Laughlin
{"title":"Fracture of the Posteromedial Tubercle of the Talus: Surgical Approach With Case Examples","authors":"Andrew M. Steffensmeier, R. Matar, D. Chung, Tonya Dixon, R. Laughlin","doi":"10.1097/BTF.0000000000000328","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000328","url":null,"abstract":"Ten to 21% of talus fractures involve the posteromedial tubercle. A search query of the institutional database was performed for all adult patients that sustained talar fractures over an 8-year period. Fifteen of these patients had isolated fractures of the posteromedial tubercle. Seventy-three percent of the patients had an associated subtalar dislocation; in all of these, the fracture of the posteromedial tubercle was comminuted. Plain radiographs have been shown to lack sensitivity in detecting posterior process fractures, which includes posteromedial and posterolateral tubercles. In this group, 86% had initial plain radiographs that missed the fracture. This paper reviews the posteromedial tubercle fractures and fracture patterns to illustrate surgical strategies and approaches for open reduction and internal fixation. Exposures are described for access to the posteromedial tubercle and strategies for distraction and reduction are described. Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"20 1","pages":"175 - 181"},"PeriodicalIF":0.3,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44207742","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}
Hayden L. Hoffler, John P. Bonvillian, Cody D. Blazek, Dekarlos M. Dial
{"title":"The Evans Calcaneal Osteotomy Using a Buried K-Wire Technique","authors":"Hayden L. Hoffler, John P. Bonvillian, Cody D. Blazek, Dekarlos M. Dial","doi":"10.1097/BTF.0000000000000332","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000332","url":null,"abstract":"Lateral column lengthening is a common procedure used to treat stage 2 of posterior tibial tendon dysfunction with acquired flat foot deformity. This was first described by Evans, who used a tricortical iliac crest bone graft in the anterior calcaneus for the correction of flat feet. The Evans osteotomy is a common reproducible osteotomy that offers triplanar correction. We describe a less common operative technique using a buried K-wire to fixate the osteotomy to prevent dorsal subluxation of the distal fragment. Level of Clinical Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"21 1","pages":"132 - 137"},"PeriodicalIF":0.3,"publicationDate":"2021-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49043361","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":"Dressing Techniques in Percutaneous Toe Surgery","authors":"F. Michels, F. Malagelada","doi":"10.1097/BTF.0000000000000331","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000331","url":null,"abstract":"Percutaneous techniques are becoming increasingly popular in forefoot surgery. In percutaneous toe corrections, usually, no hardware is used. The hardware-free technique avoids any hardware-related complications, but relies highly on the effect of the dressing to keep the foot in the desirable corrected position while healing occurs. The first postoperative dressing is applied by the surgeon. A combination of adhesive taping, sterile gauzes, and an elastic cohesive bandage is used for the first 10 to 14 days. The technique is tailored to the surgical procedure performed and aimed at correcting the preoperative deformity. For the next phase of healing, different bandage techniques can be used. Customized elastic taping is helpful to guide toe position. Alternatively, orthodigital splints can be used. Surgeons should master several bandage techniques. This allows them to choose the best technique depending on the situation. Often, the bandage techniques should be modified to the preoperative situation, the surgical technique, the deformity, and the correction achieved. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"21 1","pages":"123 - 131"},"PeriodicalIF":0.3,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42150248","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":"Controversies in Foot and Ankle Surgery: Progress Through Open Debate","authors":"John G. Anderson, D. Bohay","doi":"10.1097/BTF.0000000000000330","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000330","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"20 1","pages":"65-65"},"PeriodicalIF":0.3,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45473941","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}
T. Bemenderfer, JOHN B. Anderson, John Maskill, Donald B. Bohay
{"title":"Controversies in the Treatment of Acute Compartment Syndrome of the Foot","authors":"T. Bemenderfer, JOHN B. Anderson, John Maskill, Donald B. Bohay","doi":"10.1097/BTF.0000000000000329","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000329","url":null,"abstract":"Acute compartment syndrome of the foot remains a controversial topic. The diagnosis, management, and reported sequelae remain largely supported by low level evidence and expert opinion. Ischemic plantar flexion contractures resulting in cavus and claw toe deformities, acute and chronic neuropathic pain, sensory deficits and paresthesias, neuropathic ulceration, and odynohyperkeratosis are sequelae of both conservative and operative management of acute compartment syndrome of the foot. Further research on the outcomes of acute fasciotomy versus delayed management is necessary to support therapeutic strategies. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"20 1","pages":"151 - 160"},"PeriodicalIF":0.3,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47865212","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 Retrospective Review of Calcaneal Fractures Treated With Minimally Invasive Sinus Tarsi Approach for Open Reduction and Internal Fixation","authors":"E. Fahey, M. Curtin, R. MacNiocaill","doi":"10.1097/BTF.0000000000000308","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000308","url":null,"abstract":"This study analyses patients that have undergone open reduction and internal fixation of the calcaneus, through a minimally invasive sinus tarsi approach. The primary outcome measure of this study was the degree to which the architecture of the calcaneus was restored, with the secondary outcome measure being the rate of complications attributable to the surgery. Patients were identified retrospectively from theater records. Demographic information was gathered. Outcome measures included: (1) the accuracy of reduction achieved and (2) complication rates. Preoperative and postoperative radiographic measurements, were recorded. Patients’ medical notes were analyzed for any recorded complications. Thirty patients with calcaneal fractures were identified. Of the eligible patients 87% were male, 33% were active smokers, and mean age was 43.5 years. Seventy-six percent of patients had restoration of their Bohler’s Angle to within the normal range. There were no recorded wound complications. This case series shows that a minimally invasive sinus tarsi approach can be used to effectively achieve near anatomic reduction with low rates of complications. Level of Evidence: Diagnostic Level IV–case series. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"20 1","pages":"114 - 121"},"PeriodicalIF":0.3,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49621064","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":"Challenges in Managing Charcot Arthropathy","authors":"Thomas M. Hearty","doi":"10.1097/BTF.0000000000000326","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000326","url":null,"abstract":"Charcot arthropathy is a disabling disease and difficult to manage. The diagnosis can often be unclear because of limited accuracy of testing and differentiating it from infection can be a challenge. Whether to operate, the timing of the operation and the type of operation are wide ranging variables and there is no real consistent treatment recommendation based on strong evidence. This article presents case scenarios that are commonly seen in the orthopedic foot and ankle clinic to demonstrate the challenges the clinician faces in dealing with this difficult diagnosis. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"20 1","pages":"141 - 150"},"PeriodicalIF":0.3,"publicationDate":"2021-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44865485","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":"Bunion Surgery: An Evolution","authors":"M. Coughlin, J. Doty","doi":"10.1097/BTF.0000000000000317","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000317","url":null,"abstract":"While correction of hallux valgus deformities has been a subject of interest in the medical literature for over 2 centuries, the major contributions and published evidence has occurred over the last 75 years. Mc Bride, Keller, Mitchell, Mann, and Lapidus are names which reference techniques but they also present principles of treatment that establish the basis for current bunion surgery. Many components of these methods are used today and incorporated into modern bunion surgery. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"20 1","pages":"184 - 190"},"PeriodicalIF":0.3,"publicationDate":"2021-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44917028","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}