Foot & ankle specialist最新文献

{"title":"Peroneal Longus to Brevis Transfer Augmentation With TeKBrace Synthetic Graft.","authors":"Justin Daigre","doi":"10.1177/19386400261441082","DOIUrl":"10.1177/19386400261441082","url":null,"abstract":"<p><p>BackgroundPeroneal tendon disorders, encompassing tendinopathy, tears, subluxation, and instability, represent a significant source of lateral ankle pain and functional impairment, often exacerbated by underlying conditions such as cavovarus foot deformities or chronic lateral ankle instability. In cases of severe peroneus brevis degeneration or irreparable tears, peroneal longus to brevis tendon transfer is an effective technique to restore eversion strength and dynamic stability, though challenges persist in patients with poor tissue quality necessitating augmentation.PurposeTo present a novel case of peroneus longus-to-brevis transfer augmented with the TeKBrace synthetic graft for complex peroneal pathology. Case Presentation. A 31-year-old man presented with persistent lateral ankle pain following an inversion injury 6 months prior. Conservative management, including an orthopaedic boot, home exercises, nonsteroidal anti-inflammatory drugs, physical therapy, and a peroneal tendon steroid injection, provided limited relief. Physical examination revealed cavus foot posture, tenderness over the peroneal tendons and lateral ligaments and pain with eversion. Magnetic resonance imaging showed tears in both peroneal tendons and increased signal at the peroneal tubercle. Surgery involved lateral incision, excision of the torn peroneus brevis segment, side-to-side anastomosis of the peroneal longus to brevis, peroneal tubercle planing, and lateral ankle ligament imbrication using anchors. The anastomosis was reinforced with TeKBrace synthetic graft. Postoperative protocol included non-weight-bearing in a posterior splint for 1 week, short leg cast for 2 weeks, and full weight-bearing in a walking boot at 3 weeks.ResultsThe augmentation facilitated early mobilization and protected weightbearing, resulting in minimal muscle atrophy, shorter rehabilitation time, rapid return to activities, and no device-related complications (infection, foreign body reaction, or mechanical failure).ConclusionThis single case highlights the feasible use of TeKBrace augmentation in peroneal longus to brevis transfer, suggesting potential benefits for select patients with complex peroneal tendon reconstructions. Larger series with longer-term outcomes are needed to confirm durability, integration, and any advantage over nonaugmented transfers or other reinforcement options.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"29S-32S"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730761","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":"Early Clinical Outcomes of a Novel Synthetic Augmentation Device (TEKBRACE) in Ankle Ligament Repair: A Case Series.","authors":"G Alexander Simpson","doi":"10.1177/19386400261458564","DOIUrl":"10.1177/19386400261458564","url":null,"abstract":"<p><p>BackgroundLigament and tendon pathology of the ankle is frequently complicated by chronic instability, poor tissue quality, and prior failed repairs. Augmentation devices have been introduced to reinforce primary repair and protect healing tissues during the early postoperative period. A novel synthetic augmentation device was used as an adjunct in primary ankle ligament repair across a range of clinical presentations.MethodsThis retrospective case series evaluates early clinical outcomes in 5 patients who underwent ankle ligament repair augmented with TEKBRACE (Theramicro, Cordova, Tennessee). The cohort included 3 males and 2 females with a mean age of 52 years (range, 37-65) and mean body mass index of 29.9 (range, 22.7-39.1). Diagnoses included acute lateral instability (n = 3), acute-on-chronic instability (n = 1), and chronic instability with concomitant tendinopathy (n = 1). All diagnoses were confirmed by clinical examination and magnetic resonance imaging. Mean follow-up was 18 weeks (range, 16-24 weeks). All patients followed a standardized postoperative immobilization and rehabilitation protocol.ResultsAt early follow-up, all patients demonstrated stable clinical courses without device-related complications. There were no postoperative infections, wound complications, thromboembolic events, skin reactions, or mechanical failures. Visual Analog Scale pain scores improved from a mean of 4.8/10 preoperatively to a mean of 0.6/10 at final follow-up. Range of motion was within normal limits compared to preoperative baseline in all patients. Four of 5 patients returned to full unrestricted activity. No gross instability was detected on clinical examination at any postoperative visit.ConclusionEarly outcomes following TEKBRACE augmented ankle ligament repair were encouraging in this small preliminary series, with no device-related complications observed. These findings support the feasibility of the technique and provide rationale for prospective investigation with standardized outcome collection and longer follow-up.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"22S-28S"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364268","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":"Diversity in Medical School, Orthopaedic Surgery Residency, and ACGME-Accredited Foot and Ankle Orthopaedic Surgery Fellowship Training by Gender, Race, and Ethnicity.","authors":"Jason Silvestre, Kola George, Elizabeth K Nadeau, Daniel J Scott, Christopher E Gross","doi":"10.1177/19386400241312945","DOIUrl":"10.1177/19386400241312945","url":null,"abstract":"<p><p>IntroductionIncreasing diversity in the US health care workforce is a topic of increasing scrutiny and interest. This study analyzes the pipeline of demographic diversity for Accreditation Council for Graduate Medical Education (ACGME)-accredited foot and ankle orthopaedic surgery fellowship training.MethodsThis was a cross-sectional study of medical students, orthopaedic surgery residents, and orthopaedic foot and ankle fellows at US-accredited training programs from 2013 to 2022. Self-reported demographic data were available for trainees and compared with the 2020 US Census according to federal guidelines. Participation-to-prevalence ratios (PPRs) were calculated and analyzed to classify representation of demographic groups in orthopaedic foot and ankle surgery training as overrepresented (PPR > 1.2), equivalent (PPR = 0.8-1.2), and underrepresented (PPR < 0.8).ResultsDisparities existed in demographic representation among medical students, orthopaedic surgery residents, and ACGME-accredited orthopaedic foot and ankle fellows among women (48.4% vs 16.1% vs 20.1, P < .001), black (6.9% vs 4.6% vs 4.5%, P < .001), Asian (23.9% vs 14.1% vs 23.9%, P < .001), and Hispanic (6.1% vs 4.6% vs 3.0%, P < .001) trainees. There were no self-reported American Indian/Alaska Native and Native Hawaiian/Pacific Islander trainees in orthopaedic foot and ankle fellowship training (PPR = 0). Women (PPR = 0.40), black (PPR = 0.36), and Hispanic (PPR = 0.16) trainees were underrepresented in orthopaedic foot and ankle training relative to the US population. In contrast, Asian (PPR = 3.45), men (PPR = 1.61), and white (PPR = 1.21) trainees were overrepresented in orthopaedic foot and ankle relative to the US population.DiscussionThere is a lack of gender, racial, and ethnic diversity in orthopaedic foot and ankle training relative to the US patient population and earlier stages of medical training. Increased efforts to recruit underrepresented groups may promote diversity and inclusion in the emerging orthopaedic foot and ankle surgery workforce.Levels of Evidence:III.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"466-474"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054438","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":"Primary Extensor Hallucis Longus Repair With TeKBrace Augmentation in a Professional Athlete: A Case Report.","authors":"Selene G Parekh","doi":"10.1177/19386400261465102","DOIUrl":"10.1177/19386400261465102","url":null,"abstract":"<p><p>BackgroundExtensor hallucis longus (EHL) tendon lacerations are relatively uncommon but can have significant functional consequences, particularly in high-demand athletes where dorsiflexion strength, toe-off mechanics, and dynamic foot control are critical for performance. While primary repair remains the standard of care, concerns persist regarding early loading, elongation, and delayed return to sport.PurposeTo present a case of primary EHL tendon repair augmented with a synthetic reinforcement scaffold (TeKBrace, TheraMicro, LLC) in a professional athlete, highlighting the role of load-sharing constructs in facilitating accelerated rehabilitation and return to high-level function.Case PresentationA professional athlete sustained an acute laceration to the EHL tendon. Surgical management consisted of primary end-to-end repair augmented with the TeKBrace scaffold reinforcement designed to provide immediate mechanical support while permitting physiologic motion. Results. The patient progressed through an accelerated rehabilitation protocol with early protected motion. At 6 weeks, the patient demonstrated functional strength and active participation in therapy. Return to sport was achieved at 10 weeks postoperatively without complications.ConclusionAugmentation of EHL tendon repair with the TeKBrace scaffold may provide additional mechanical support in high-demand patients by supporting early load-sharing while maintaining native tendon mechanics. This approach may facilitate accelerated rehabilitation and return to sport.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"18S-21S"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474451","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 Fixation Utilizing Dorsomedial Plating Technique.","authors":"James L Iandoli, Daniel T DeGenova, Anthony J Perugini, Zachary P Hill, Matthew T Glazier, Benjamin C Taylor","doi":"10.1177/19386400251316922","DOIUrl":"10.1177/19386400251316922","url":null,"abstract":"<p><p>Ideal treatment for Lisfranc injuries is often debated, but ultimately the 2 main pillars of surgical intervention consist of open reduction and internal fixation versus arthrodesis. When adhering to the principles of rigid fixation and anatomic reduction, both interventions yield similar results and patient satisfaction. The purpose of this article and associated video is to simplify operative intervention of this complex injury pattern into a reliable biomechanically stable plating technique using a dorsomedial approach that results in good patient outcomes and is largely joint sparing. The cohort used for this technique guide consists of 31 patients with at least 12-month follow-up. Notable results include mean operative room time of 81 minutes, median time to union 198 days, and 1 non-union. Complications included 4 superficial infections and 1 deep infection, 7 patients with broken hardware, 1 non-union, and 15 patients elected to have hardware removed although not necessary for this technique.<b>Level of Evidence:</b> Therapeutic Level IV: Case Series.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"530-535"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652470","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":"Correction of Distal Metatarsal Articular Angle in Hallux Valgus Surgery Utilizing a Minimally Invasive Extra-Articular Metaphyseal Distal Transverse Osteotomy.","authors":"Rodrigo Encinas, SarahRose Hall, David Edelman, Tucker McMillen, Deborah Hurley, Jonathan R M Kaplan, Oliver N Schipper, J Benjamin Jackson, Tyler A Gonzalez","doi":"10.1177/19386400251317597","DOIUrl":"10.1177/19386400251317597","url":null,"abstract":"<p><p>Hallux valgus deformity frequently presents with an increased distal metatarsal articular angle (DMAA) which may require additional correction. Minimally invasive hallux valgus surgery is often used in patients with increased DMAA. We hypothesized that the triplanar correction with the minimally invasive extra-articular metaphyseal distal transverse osteotomy (META) would improve the DMAA, in addition to the hallux valgus angle (HVA), intermetatarsal angle (IMA), and patient-reported outcomes. A retrospective chart review was performed on patients who underwent an META procedure for hallux valgus correction. The DMAA, HVA, IMA were measured on preoperative, 2-week postoperative, and final follow-up radiographs. Patient demographics, complications, and Patient-Reported Outcomes Measure Information System (PROMIS) pain, function, and mobility scores were recorded. Univariate analysis and t-test were used to describe measurements between DMAA, HVA, and IMA. Twenty-seven META osteotomies were performed on 25 patients. At the final follow-up, mean DMAA, HVA, IMA decreased from 9.73 ± 1.96 to 4.35 ± 0.85 degrees, 30.45 ± 7.91 to 6.59 ± 2.75 degrees, and 15.37 ± 3.67 to 3.72 ± 1.84 degrees, respectively (P < .001). The PROMIS pain scores significantly improved from 58.96 ± 6.00 to 49.69 ± 9.35 at the final follow-up (P < .001). These observations imply successful resolution of hallux valgus, with a single META procedure. This approach may be an alternative to open or multiple corrections of hallux valgus, while preserving improvement in functional outcomes.<b>Level of Evidence:</b> Level IV.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"511-518"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plate Fixation and Hallux Valgus Deformity Impact on Nonunion Rates in First Metatarsophalangeal Arthrodesis: A Retrospective Cohort Study.","authors":"Amir R Kachooei, Tara Moncman, Kassem Ghayyad, Steven Raikin, Joseph Daniel","doi":"10.1177/19386400251318966","DOIUrl":"10.1177/19386400251318966","url":null,"abstract":"<p><p>BackgroundThe combined effect of fixation type and preoperative deformity together might influence the union rate after the first metatarsophalangeal (MTP) arthrodesis. This study aimed to compare the nonunion and failure rate of dorsal locking plate versus cross-screws for the first MTP arthrodesis considering the preoperative deformity, including hallux valgus versus rigidus. We secondarily aimed to compare the observed nonunion rate with the rate in the systematic reviews.MethodsThis was a retrospective cohort study including 372 patients and 378 feet. The surgical technique was identical except for the use of a dorsal locking plate in 181 (49%) and cross-screws in 191 (51%) MTP joints. The radiographic union was assessed at 3 months postoperative. Those who did not heal by the 3-month follow-up were categorized as a \"symptomatic\" versus \"asymptomatic\" nonunion. Those categorized as nonunion after 3 months were followed until union occurred.ResultsThe results demonstrated that dorsal locking plate fixation (OR = 10.1, 95% CI: 1.3-80) and hallux valgus deformity (OR = 4.7, 95% CI: 1.2-18) were significantly associated with a higher nonunion rate. At 3-month follow-up, a total of 19 (5%) patients showed nonunion. Of the total nonunions, 15 (79%) were fixed by the locking plate, and 4 (21%) were fixed by cross-screws. Of the 15 nonunions with plate fixation, 6 (40%) underwent a second surgery due to device failure, while none of the cross-screws required a second surgery. Out of the 6 secondary surgeries, 5 (83%) demonstrated a nonunion with valgus deformity and 1 required removal of hardware due to prominent hardware.ConclusionOur results support that a dorsal locking plate for the fusion of a hallux valgus deformity is associated with a significantly higher risk of symptomatic nonunion and a secondary surgery compared to cross-screws, possibly due to the failure of the plate in neutralizing the medio-lateral deforming forces.Levels of Evidence:<i>Level IV, Retrospective Cohort</i>.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"483-491"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477290","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":"Association Between Foot Alterations and Disability in People With Multiple Sclerosis: A Cross-Sectional Study.","authors":"Sara Zúnica-García, Blanca Pastor-Vidal, Alba Gracia-Sánchez, María Isabel Jiménez-Trujillo, Esther Chicharro-Luna, Ángel Pérez-Sempere","doi":"10.1177/19386400261484267","DOIUrl":"https://doi.org/10.1177/19386400261484267","url":null,"abstract":"<p><p>BackgroundMultiple sclerosis (MS) is a leading cause of disability in young adults. While gait and lower limb dysfunction are well studied, foot- and ankle-specific impairments remain underexplored despite their potential impact on mobility, independence, and quality of life.ObjectiveTo examine the relationship between foot alterations and functional disability in MS using the Expanded Disability Status Scale (EDSS).MethodsA cross-sectional study was conducted in an endocrinology outpatient clinic and MS associations. Disability was classified as mild (EDSS < 2.5) or moderate (EDSS 2.5-5.5). Foot assessments included digital deformities, foot posture, hyperkeratosis, dorsiflexion range of motion, and plantar tactile sensitivity using the Semmes-Weinstein monofilament at 8 anatomical foot sites. Multiple linear regression was applied to identify predictors of disability.ResultsOne hundred individuals with MS participated; 78% were women. Mean EDSS was 2.5 (range: 1.5-4), with mild disability in 51% and moderate in 49%. Claw toes (P = .042), fewer metatarsal head hyperkeratoses (r = -.024; P = .025), altered tactile sensitivity (P = .010), and a higher number of insensitive sites (r = .333; P < .001) were linked to higher EDSS scores. In multivariate analysis, absent tactile sensitivity (β = 0.142, P = .004), anxiety (β = 0.838, P = .013), and occupational inactivity (β = 0.359, P = .057) emerged as significant predictors.ConclusionPlantar tactile sensory loss was the only podiatric factor independently associated with disability in MS, with anxiety and occupational inactivity also contributing. Findings underscore the need for podiatric assessment within multidisciplinary care to help preserve mobility and quality of life.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400261484267"},"PeriodicalIF":2.1,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027170","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":"History, Physical Examination, and Terminology of Osteochondral Lesions of the Talus: Proceedings of the International Congress on Cartilage Repair of the Ankle.","authors":"Alexander Tham, James J Butler, Jared Rubin, Christiaan J A van Bergen, Onno L Baur, Christopher D Murawski, Pietro Spennacchio, Dominic Carreira, Stephen R Kearns, Adam W Mitchell, Helder Pereira, Christopher Pearce, James Calder, M Shazil Jamal, Eoghan T Hurley, Roberto Buda, Kenneth J Hunt, Graham McCollum, Jochen Paul, Francesca Vannini, Markus Walther, Youichi Yasui, Zakariya Ali, J Nienke J Altink, Jorge P Batista, Steven Bayer, Gregory Berlet, Jari Dahmen, Martin S Davey, Pieter D'Hooghe, Christopher DiGiovanni, Richard D Ferkel, Arianna L Gianakos, Eric Giza, Mark Glazebrook, Laszlo Hangody, Daniel Haverkamp, Beat Hintermann, Yinghui Hua, Daire Hurley, Jon Karlsson, John G Kennedy, Gino M M J Kerkhoffs, Kaj T A Lambers, Jin Woo Lee, Nathaniel P Mercer, Conor Mulvin, James A Nunley, Marcelo Pires Prado, Steven M Raikin, Ian Savage-Elliott, Lew C Schon, Yoshiharu Shimozono, James W Stone, Sjoerd A S Stufkens, Martin Sullivan, Masato Takao, Hajo Thermann, David B Thordarson, James Toale, Victor Valderrabano, C Niek van Dijk, Raymond J Walls, Alastair S E Younger, MaCalus V Hogan","doi":"10.1177/19386400261485355","DOIUrl":"https://doi.org/10.1177/19386400261485355","url":null,"abstract":"<p><p>BackgroundOsteochondral lesions of the talus (OLT) remain challenging to evaluate and report because of historically inconsistent terminology and nonspecific clinical findings. The 2017 and 2019 International Consensus Meetings on Cartilage Repair of the Ankle addressed complementary aspects of OLT evaluation, including history, physical examination, and terminology. The purpose of this proceedings article is to integrate these consensus statements into a concise framework for clinicians and researchers.MethodsSelected statements from the 2017 and 2019 International Consensus Meetings were reviewed and synthesized. Both meetings used a modified Delphi consensus process involving international experts in ankle cartilage repair. Statements were developed through blinded electronic surveys, structured questionnaires, literature review, in-person discussion, and final anonymous voting. Consensus strength was defined as consensus, strong consensus, or unanimous agreement according to predefined voting thresholds.ResultsConsensus statements supported standardized terminology distinguishing subchondral bone lesions, chondral lesions, and OLT. Bone marrow stimulation was endorsed as an umbrella term for marrow-access procedures, and standardized terminology was recommended for autologous and allograft osteochondral transplantation. The panel also supported consistent reporting of subchondral edema, subchondral cysts, lesion area, diameter, depth, and injury chronicity. For clinical assessment, consensus supported documentation of activity level, symptom duration, trauma history, pain localization, mechanical symptoms, prior treatment, swelling, alignment, ankle range of motion, stability, and tenderness to palpation. Deep activity-related ankle pain, with or without swelling, was identified as the most important clinical feature suggesting a symptomatic ankle cartilage lesion.ConclusionThis proceedings article integrates terminology, history, and physical examination recommendations from the 2017 and 2019 International Consensus Meetings on Cartilage Repair of the Ankle. Standardized use of these definitions and clinical assessment elements may improve clinical communication, documentation, and consistency in research reporting.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400261485355"},"PeriodicalIF":2.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148984302","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":"Outcomes of Growth Modulation for Residual Clubfoot Deformities.","authors":"Mohamed Sobhy Ali Hassan, Hassan Magdy El Barbary, Amr Said Arafa, Ahmed Mohamed Yassen, Ahmed Abdelmohsen Abdelghany","doi":"10.1177/19386400261480272","DOIUrl":"https://doi.org/10.1177/19386400261480272","url":null,"abstract":"<p><p>ObjectiveTo evaluate the radiographic outcomes, clinical effectiveness, and safety of lateral calcaneocuboid guided growth using a tension-band plate (8-plate) for the correction of residual forefoot adduction in children with idiopathic clubfoot.MethodsWe evaluated children presenting with residual forefoot adduction following previous clubfoot treatment. All patients underwent lateral calcaneocuboid-guided growth using an 8-plate. Radiographic assessment included preoperative and postoperative measurements of the talo-first metatarsal angle (T1MA), calcaneo-fifth metatarsal angle (C5MA), and the medial-to-lateral (M/L) column length ratio.ResultsFifteen feet (median age: 5 years) were analyzed. The M/L ratio showed a statistically significant improvement across the entire cohort (P < .05). While T1MA and C5MA demonstrated numerical improvement, statistical significance was primarily reached in simple deformities. Notably, a strong positive correlation was found between increasing age and improvement in the M/L ratio. Younger patients experienced a higher incidence of screw loosening and lower correction rates, likely due to softer bone density, whereas older children showed superior stability and more predictable outcomes. No major adverse events or permanent growth arrests were reported.ConclusionLateral calcaneocuboid guided growth is a safe, minimally invasive technique for managing residual forefoot adduction. However, clinical success is highly dependent on hardware stability.Levels of Evidence:Level IV: Case Series.</p>","PeriodicalId":73046,"journal":{"name":"Foot & ankle specialist","volume":" ","pages":"19386400261480272"},"PeriodicalIF":2.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972512","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}