{"title":"An Improved Technique for Medial Malleolar Osteotomy","authors":"R. Shah, N. Geevarughese, Shivam R Shah","doi":"10.1097/BTF.0000000000000290","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000290","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41663981","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 D. Posner, Stefanos F Haddad, M. Harrington, Kyle Angelicola-Richardson, A. Rosenbaum
{"title":"Conversion of Tibiotalocalcaneal Arthrodesis to Total Ankle Arthroplasty in the Setting of Fibular Deficiency","authors":"Andrew D. Posner, Stefanos F Haddad, M. Harrington, Kyle Angelicola-Richardson, A. Rosenbaum","doi":"10.1097/BTF.0000000000000325","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000325","url":null,"abstract":"Conversion of symptomatic ankle arthrodesis to total ankle arthroplasty is becoming more common. Lateral fibula insufficiency has historically been considered a contraindication for arthrodesis takedown and conversion arthroplasty. Studies have described several methods for restoring an adequate lateral buttress but reported mixed results. The authors describe a novel technique tip for a single-procedure conversion of tibiotalocalcaneal arthrodesis to total ankle arthroplasty in the setting of fibular deficiency. The described technique uses unique templating and bone cuts and can be successfully replicated in these challenging cases. Level of Evidence: Level V—expert opinion.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"21 1","pages":"106 - 110"},"PeriodicalIF":0.3,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43652389","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 the Treatment of Hallux Valgus","authors":"Matthew Nedwicki, Scott Nemec","doi":"10.1097/BTF.0000000000000320","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000320","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49191386","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":"Management of Bone Defects of the Foot and Ankle","authors":"R. Kulwin, Brian M. Weatherford","doi":"10.1097/BTF.0000000000000324","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000324","url":null,"abstract":"Effective management of bone loss in foot and ankle surgery requires the application of a wide variety of techniques and implants. Autograft, allograft, cement spacers, bone transport, and recently custom titanium cages are all methods that can effectively manage bone defects. This article serves as an overview and technical guide for the indications and applications of these techniques with demonstrative case examples. 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":"130 - 140"},"PeriodicalIF":0.3,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48402105","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":"Proximal Rotational Metatarsal Osteotomy for Treatment of Hallux Valgus: A Technique Guide","authors":"S. Wallace, K. Hunt","doi":"10.1097/BTF.0000000000000327","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000327","url":null,"abstract":"There is increasing interest in rotational correction of the first metatarsal during hallux valgus correction. This article provides a technique guide for the proximal rotational metatarsal osteotomy technique, which corrects both the intermetatarsal angle and the rotational deformity with a single oblique osteotomy. 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":"1 - 8"},"PeriodicalIF":0.3,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46446619","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":"Guest Editorial: Comments on Monograph Pertaining to Persistent Problems After Ankle Sprains","authors":"N. Abidi","doi":"10.1097/BTF.0000000000000319","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000319","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"20 1","pages":"1-1"},"PeriodicalIF":0.3,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44144235","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}
J. M. Yañez Arauz, N. Raimondi, D. Lauritto, Bruno Terrarossa, Facundo A. Pedemonte
{"title":"Osteotomy Guides Created Through 3D Tomographic Model for Talus Osteotomies in Massive Allograft Technology Presentation for Massive Fresh Talus Allograft Transplant","authors":"J. M. Yañez Arauz, N. Raimondi, D. Lauritto, Bruno Terrarossa, Facundo A. Pedemonte","doi":"10.1097/BTF.0000000000000321","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000321","url":null,"abstract":"The use of 3-dimensional (D) printing in the medical segment has been increasing. In cases in which osteotomies are necessary, the use of tomographic reconstruction is useful for their planning. And if we were to add the design of osteotomy guides and 3D printing, we can ensure more precise cuts. This study aims to present 3D printing for the creation of more precise osteotomy guides, in the treatment of massive talus osteochondral lesions; and proving its use in the transplant of fresh osteochondral allografts. We present the planning and the surgery performed on a patient, using this 3D printing method with specific osteotomy guides designed for the massive osteochondral defect in zones 1, 4, and 5 (Raikin) with 2570 mm3 volume and symptomatic. At 3 months and 1 year postoperation it was evaluated with a computerized axial tomography scan, objectifying a good articular reduction and congruence of the allograft without its collapse. Planning with 3D digital design, as it is the design and production of specific surgical tools for this surgery, improved surgical time, achieving the correct fit of the allograft, and allowed for a full coverage of the osteochondral defect. Level of Evidence: Diagnostic Level V according to the criteria of the Oxford Centre for Evidence-Based Medicine (CEBM). 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":"102 - 105"},"PeriodicalIF":0.3,"publicationDate":"2021-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45637880","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":"Lisfranc Injuries","authors":"C. Gentchos","doi":"10.1097/BTF.0000000000000322","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000322","url":null,"abstract":"Lisfranc injuries represent a heterogenous group of ligamentous and combined osseous-ligamentous injuries to the tarsometatarsal/midtarsal articulations. Higher-energy Lisfranc injuries rarely present delayed. Operative treatments have included percutaneous reduction internal fixation, open reduction internal fixation, and primary arthrodesis (PA). Outcomes in higher-energy injuries can be poor and salvage by secondary arthrodesis, if not performed as primary treatment, remains an option. Subtle, lower-energy injuries, or purely ligamentous Lisfranc injuries may be commonly overlooked. These injuries frequently require multiple imaging modalities to fully define, and optimal treatment continues to be controversial. It is universally agreed that regardless of surgical treatment, anatomic reduction of the affected joints is critical to maximize function and minimize pain. One prospective randomized controlled trial supports PA for ligamentous Lisfranc injuries and 1 retrospective comparative study reported PA results similarly favorable in both ligamentous and combined osseous-ligamentous injuries. One prospective randomized controlled trial and all other retrospective comparative studies and meta-analyses concluded that PA is not superior to open reduction internal fixation for ligamentous or combined injuries. Arthrodesis remains a successful option for failed prior nonarthrodesis treatments. Level of Evidence: Diagnostic Level III. 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":"66 - 74"},"PeriodicalIF":0.3,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43836446","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 Use of Modified Ollier Approach and Structural Allograft for Fixation of Intra-articular Calcaneal Fractures","authors":"G. Tay, J. Ng, J. Ng, M. Lee, G. Foo, J. Wee","doi":"10.1097/BTF.0000000000000304","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000304","url":null,"abstract":"We describe the combination of an Ollier approach and use of a structural allograft, for displaced intra-articular calcaneal fractures, that minimizes soft issue complications known to plague such fractures. The soft tissue envelope around the fracture fragments is maintained, facilitating fracture reduction. The mini-open incision is positioned such that critical elements of the subtalar joint are adequately visualized throughout the reduction and fixation. We have used this procedure for all grades of Sanders intra-articular fractures with no significant short-term complications thus far. 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":"21 1","pages":"81 - 85"},"PeriodicalIF":0.3,"publicationDate":"2021-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42984284","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}