Techniques in Foot and Ankle Surgery最新文献

{"title":"Controversies in Surgical Treatment of Recalcitrant Plantar Fasciitis","authors":"Nicholas A. Cheney, B. D. Sharpe, Jason A Lauf, Joseph Long","doi":"10.1097/BTF.0000000000000312","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000312","url":null,"abstract":"Plantar fasciitis is a common cause of heel pain that is seen by both orthopedic surgeons and primary care providers. It is a condition that was previously thought to be because of inflammation of the plantar fascia but has more recently been linked an equinus contracture of the gastrocnemius muscle. The condition can be handled both conservatively and surgically, with the primary management being nonoperative. For operative interventions, the treatment of choice was classically a plantar fasciotomy. Over the past several years, the gastrocnemius recession has become an operative treatment of choice. The gastrocnemius recession has shown better symptom relief with less morbidity. The technique to perform a gastrocnemius recession is described within the chapter, as well as the postoperative management. In the future, the duration of nonoperative management for recalcitrant disease may be reduced. However, more randomized control trials showing positive results of the gastrocnemius recession may allow for shorter nonoperative management period creating a new standard treatment algorithm. Level of Evidence: Diagnostic level I, systematic review of studies.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"20 1","pages":"86 - 102"},"PeriodicalIF":0.3,"publicationDate":"2021-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47362702","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 Limb Salvage in Patients With Diabetes Mellitus","authors":"John Louis-Ugbo","doi":"10.1097/BTF.0000000000000310","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000310","url":null,"abstract":"Diabetic foot ulcers are the most feared complications among patients with diabetes mellitus because these are frequently a harbinger to major lower extremity amputation after failed attempts at treatment or limb salvage. Though most of these ulcers go on to heal, there is a sizeable proportion that goes on to develop gangrene, deep infections, osteomyelitis, and unstable deformities. These cohorts of patients often require repeated, costly, and controversial attempts at limb salvage surgery. Considering the growing cost of care of these patients worldwide, controversies abound in the literature regarding the best approach for limb salvage that will provide the best possible outcomes. There are no clear guidelines regarding what limbs with diabetic ulcers to salvage and those that require immediate major amputation in the orthopedic literature. However, many reports have shown that aggressive efforts at salvage with partial foot amputations should be entertained before higher-level amputations because of the increased morbidity and mortality associated with major amputation. Level of Evidence: Level IV.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"20 1","pages":"123 - 129"},"PeriodicalIF":0.3,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47465521","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":"Recurrent Syndesmotic Diastasis Treated With Revision Tightrope Fixation","authors":"Sheldon S. Lin, Nicholas Genovese","doi":"10.1097/BTF.0000000000000315","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000315","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44713108","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":"Minimally Invasive Technique for Hallux Valgus Correction","authors":"J. Acevedo, Andres A. Cedeno, J. Doty, J. Mcwilliam","doi":"10.1097/BTF.0000000000000298","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000298","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42764255","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 Proximal Opening Wedge Osteotomy: A Review of the Evidence and Technique","authors":"T. Watson, M. Hsiao, Chris Harasym, J. Walsh","doi":"10.1097/BTF.0000000000000307","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000307","url":null,"abstract":"The treatment of symptomatic, moderate-to-severe hallux valgus deformities offers numerous challenges to the foot and ankle surgeon. Many surgical procedures have been described for the correction of metatarsus primus varus with moderate-to-severe hallux valgus deformity. For the larger deformity, surgeons typically turn toward a shaft or basilar osteotomy or opt for a Lapidus-type procedure. The proximal opening wedge osteotomy has become popular with the recent development of specifically designed, low-profile, opening wedge, proximal metatarsal systems. Despite initial success and popularity, a reported 3% to 11% recurrence rate has been described in the literature. In this paper, we review the evidence, our indications, contraindications, technique, and pearls for success. We believe that the proximal opening wedge osteotomy technique provides excellent correction, is technically reproducible, easy to perform, and should be an option in every surgeon’s toolbox. As techniques continue to evolve, we have added a closing wedge or distal biplanar osteotomy in those cases presenting with an increased distal metatarsal articular angle, to better achieve an isometric correction of the first metatarsal and prevent a late recurrence. 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":"208 - 215"},"PeriodicalIF":0.3,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46836873","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":"Traumatic Hallux Varus","authors":"Rishin J. Kadakia, Akhil Sharma, J. Sam, S. Parekh","doi":"10.1097/BTF.0000000000000305","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000305","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43797600","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":"Fractures of the Great Toe Proximal Phalanx: A Case Series and Review of the Literature","authors":"Joshua D. Dworkin, Evan C. Harris, P. Ryan","doi":"10.1097/BTF.0000000000000309","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000309","url":null,"abstract":"Phalangeal fractures are the most common fractures seen in the foot, especially in the great toe. Acceptable angulations for fractures of the proximal phalanx are not known. To determine practice trends, a retrospective review of consecutive patients treated at a single institution from January 2011 to August 2014 was performed. All patients were skeletally mature with fractures to the diaphysis of the proximal phalanx with or without intra-articular extension. Outcomes from the medical record review included the type of treatment, radiographic alignment, and visual analog pain scores. Of the 12 patients reviewed, 4 sustained crush injuries and 8 sustained axial load injuries. Statistical analysis was done using Student’s t test for a normally distributed population. Nine of the 12 fractures were treated with manipulation, 7 were closed reduction and percutaneous pinning (CRPP), and 2 were isolated closed reduction without internal fixation. Two of the 9 patients with CRPP required additional surgery. The comparison between the sagittal plane angulation in the closed reduction cohort was 25 degrees compared with 42 degrees in the CRPP cohort (P=0.02). The final sagittal plane angulation comparison was not significant 12 versus 15 degrees (P=0.55). In the transverse plane, no statistical difference was seen between the 2 cohorts with an initial angulation of 8 degrees in the closed reduction cohort versus 13 degrees in the CRPP cohort (P=0.45). The final transverse angulation was symmetric with a mean of 4 degrees in each cohort (P=0.91). The patients in this review were more likely to be treated with operative intervention when initial angulation had a mean of 42 degrees in the sagittal plane. Patients with initial mean angulation of 25 degrees were more likely to be treated with a closed reduction. Final sagittal plane angulations of 12 to 15 degrees were associated with good outcomes. This series may help surgeons and patients in their shared decision making when faced with shaft fractures of the proximal phalanx. Level of Evidence: Level IV—retrospective cohort study.","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":"21 1","pages":"90 - 94"},"PeriodicalIF":0.3,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48772623","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 Novel Percutaneous Modified Brostrom-Gould Technique for Lateral Ankle Instability Using the Lasso Technique","authors":"G. Tay, J. Ng, Daniel Xing Fu Hap, G. Foo, J. Wee","doi":"10.1097/BTF.0000000000000303","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000303","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49357159","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":"Minimally Invasive All Arthroscopic Broström With InternalBrace Augmentation","authors":"Christopher P. Miller, J. Mcwilliam, Kimberly K. Broughton, J. Acevedo","doi":"10.1097/BTF.0000000000000302","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000302","url":null,"abstract":"","PeriodicalId":44146,"journal":{"name":"Techniques in Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45628230","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":"Achilles Tendon Rupture Treatment: Operative Versus Nonoperative","authors":"Toufic R. Jildeh, Erik B. Eller","doi":"10.1097/BTF.0000000000000306","DOIUrl":"https://doi.org/10.1097/BTF.0000000000000306","url":null,"abstract":"Acute Achilles tendon ruptures are common injuries with increasing incidence. Management of acute ruptures is controversial. Early evidence suggested that nonoperative treatment led to a significantly higher rerupture rate; however, operative modalities have also been shown to have a higher risk of wound complications. Advances in therapeutic protocols have normalized the rerupture rate between operative and nonoperative modalities, and many have recommended nonoperative treatment becuase of the mitigated complication profile. The purpose of this review is to report contemporary management of Achilles tendon ruptures and provide our preferred technique of management. 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":"82 - 85"},"PeriodicalIF":0.3,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45462410","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}