Foot & ankle surgery (New York, N.Y.)最新文献

Lateral subtalar joint capsuloligamentous instability: A review and proposed repair technique 距下外侧关节囊少韧带不稳：回顾和建议的修复技术

Foot & ankle surgery (New York, N.Y.) Pub Date : 2026-03-01 Epub Date: 2025-12-17 DOI: 10.1016/j.fastrc.2025.100597

Marque Allen DPM, FACFAS Fellowship Director , Seth Ashraf DPM, AACFAS Current Fellow , Jacob Riddle DPM 2nd Year Resident , Ian Vandergulik DPM Past Fellow , Christopher Bibbo DO, DPM FACS, FAAOS, FACFAS, Orthopedic Surgeon

{"title":"Lateral subtalar joint capsuloligamentous instability: A review and proposed repair technique","authors":"Marque Allen DPM, FACFAS Fellowship Director , Seth Ashraf DPM, AACFAS Current Fellow , Jacob Riddle DPM 2nd Year Resident , Ian Vandergulik DPM Past Fellow , Christopher Bibbo DO, DPM FACS, FAAOS, FACFAS, Orthopedic Surgeon","doi":"10.1016/j.fastrc.2025.100597","DOIUrl":"10.1016/j.fastrc.2025.100597","url":null,"abstract":"<div><div>Lateral subtalar joint (STJ) instability is an underrecognized contributor to persistent lateral hindfoot symptoms, especially among patients who continue to feel unstable after anatomically successful anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) repair. Emerging cadaveric, biomechanical, and imaging work suggests a key stabilizing role for the lateral STJ capsule and the inferior extensor retinaculum (IER) complex. We provide a narrative review of the lateral STJ capsuloligamentous anatomy, relevant biomechanical data, and diagnostic considerations including MRI/ultrasound and dynamic fluoroscopic stress assessment. We then describe a practical operative approach for capsuloligamentous reinforcement of the lateral STJ using a flap of the medial band of the IER, with anchor fixation to the lateral talar process, and outline postoperative management. In the senior author’s experience, targeted subtalar capsuloligamentous repair can restore lateral stability in patients with isolated or residual STJ laxity after lateral ankle stabilization. The technique leverages local retinacular tissue to augment the lateral talocalcaneal ligament (LTCL) region and the lateral capsule while maintaining anatomic relationships. Lateral STJ capsuloligamentous laxity may drive persistent symptoms despite ATFL/CFL reconstruction. Surgeons should consider explicit subtalar assessment and, when indicated, capsular plication with IER augmentation. Prospective studies and standardized imaging/stress tests are needed to validate indications, outcomes, and durability.</div><div>Level of evidence: LEVEL V</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"6 1","pages":"Article 100597"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147395402","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}

引用次数: 0

Overcompression of the syndesmosis in a geriatric ankle fracture-dislocation: A case report and surgical revision analysis 老年性踝关节骨折脱位的联合过度受压：1例报告及手术修正分析

Foot & ankle surgery (New York, N.Y.) Pub Date : 2026-03-01 Epub Date: 2026-01-23 DOI: 10.1016/j.fastrc.2026.100605

Lucas Adams DPM, AACFAS , Kayla Curlis DPM , Quinn Schroeder DPM, AACFAS , Kyle McKray-Smith DPM, FACFAS

引用次数: 0

About the Journal 关于华尔街日报

Foot & ankle surgery (New York, N.Y.) Pub Date : 2026-03-01 Epub Date: 2026-03-09 DOI: 10.1016/S2667-3967(26)00013-3

引用次数: 0

Increasing access to podiatric surgeons who perform total ankle replacements in rural populations 增加在农村人口中进行全踝关节置换术的足外科医生的机会

Foot & ankle surgery (New York, N.Y.) Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI: 10.1016/j.fastrc.2026.100606

Brady Webb DPM AACFAS, Marcell Brikho DPM AACFAS, Avery Mason DPM AACFAS, David Waters DPM FACFAS

{"title":"Increasing access to podiatric surgeons who perform total ankle replacements in rural populations","authors":"Brady Webb DPM AACFAS, Marcell Brikho DPM AACFAS, Avery Mason DPM AACFAS, David Waters DPM FACFAS","doi":"10.1016/j.fastrc.2026.100606","DOIUrl":"10.1016/j.fastrc.2026.100606","url":null,"abstract":"<div><div>Total ankle replacement (TAR) is a complex surgical procedure that can significantly improve the quality of life for patients with debilitating ankle conditions, such as end-stage arthritis. However, access to surgeons skilled in performing TAR is limited in rural areas due to geographic isolation, economic barriers, and a shortage of specialized healthcare providers. This study aims to assess the distribution of TAR-trained foot and ankle surgeons and explore the challenges faced by rural populations in accessing this crucial care. By using the \"Find a Surgeon\" tool from Stryker’s website, we identified 479 podiatric surgeons and 518 foot and ankle orthopedic surgeons across the U.S., noting that only 31 of these professionals practice in rural areas, defined by the U.S. Census Bureau as towns with populations below 5,000. Key obstacles to accessing TAR in rural areas include long travel distances, economic disparities, limited healthcare coverage, and a lack of awareness about available treatment options. Despite the limitations, we hope to highlight the hurdles many patients have to overcome for access to surgeons who perform TARs.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"6 1","pages":"Article 100606"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187824","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}

引用次数: 0

Primarily misdiagnosed bosworth lesion in a pilon fracture with soft-tissue problems-a case report 主要误诊的博斯沃思病变在头枕骨折与软组织问题- 1例报告

Foot & ankle surgery (New York, N.Y.) Pub Date : 2026-03-01 Epub Date: 2026-01-05 DOI: 10.1016/j.fastrc.2026.100599

Dr Marie Serilas , Dr Fergus Bonnevie

引用次数: 0

Fasciodesis of the deep crural fascia for tendoachilles repair and reconstruction: A case series for a novel surgical technique to prevent wound complications 肌腱跟腱修复和重建的深脚筋膜筋膜术：一种防止伤口并发症的新手术技术的病例系列

Foot & ankle surgery (New York, N.Y.) Pub Date : 2026-03-01 Epub Date: 2025-11-20 DOI: 10.1016/j.fastrc.2025.100589

Marque Allen DPM FACFAS , Chris Bibbo DPM, DO , Jacob J. Riddle DPM , Seth Ashraf DPM

引用次数: 0

From crisis to closure: Early aggressive debridement and use of skin grafting in limb threatening necrotizing fasciitis 从危象到愈合：肢体坏死性筋膜炎的早期积极清创和植皮术

Foot & ankle surgery (New York, N.Y.) Pub Date : 2026-03-01 Epub Date: 2025-12-23 DOI: 10.1016/j.fastrc.2025.100598

Hayley Collins DPM, William Lopez DPM, Michael Cooper MD

{"title":"From crisis to closure: Early aggressive debridement and use of skin grafting in limb threatening necrotizing fasciitis","authors":"Hayley Collins DPM, William Lopez DPM, Michael Cooper MD","doi":"10.1016/j.fastrc.2025.100598","DOIUrl":"10.1016/j.fastrc.2025.100598","url":null,"abstract":"<div><div>Necrotizing fasciitis (NF) in the setting of diabetic ketoacidosis (DKA) and septic shock presents a formidable challenge to limb preservation. This case describes a 64-year-old female with longstanding uncontrolled diabetes who presented in profound metabolic and septic compromise, with extensive soft tissue gas and polymicrobial infection of the right foot and leg. Emergent radical debridement and partial foot amputation were performed within hours of arrival, with vascular surgery consulted for below-knee amputation (BKA) due to concern for non-salvageability. This case highlights the impact of early aggressive debridement, serial washouts, and strategic wound optimization, culminating in successful split-thickness skin grafting. Despite the severity of infection and systemic compromise, amputation was limited to the first ray and second digit. At 2.5 months postoperatively, the patient regained ambulatory function and expressed high satisfaction with limb preservation. The graft healed fully, and no further surgical intervention was required. This outcome underscores the critical role of interdisciplinary coordination, surgical persistence, and timely decision-making in complex NF cases.</div></div><div><h3>Level of evidence</h3><div>IV</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"6 1","pages":"Article 100598"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145925818","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}

引用次数: 0

Repair of chronic Achilles tendon rupture using interposed scar tissue and flexor hallucis longus transfer with interference screw: Case report and surgical technique 瘢痕组织间置和拇长屈肌移位干涉螺钉修复慢性跟腱断裂一例报告及手术技巧

Foot & ankle surgery (New York, N.Y.) Pub Date : 2026-03-01 Epub Date: 2026-01-23 DOI: 10.1016/j.fastrc.2026.100603

Alberto E. Vieco MD , Luis A. Gómez MD , Alfredo D. De La Rosa MD , Maria A. Quintero MD

{"title":"Repair of chronic Achilles tendon rupture using interposed scar tissue and flexor hallucis longus transfer with interference screw: Case report and surgical technique","authors":"Alberto E. Vieco MD , Luis A. Gómez MD , Alfredo D. De La Rosa MD , Maria A. Quintero MD","doi":"10.1016/j.fastrc.2026.100603","DOIUrl":"10.1016/j.fastrc.2026.100603","url":null,"abstract":"<div><div>Chronic Achilles tendon ruptures represent a surgical challenge, with multiple repair techniques described in the literature. These approaches are selected according to the extent of the defect, and procedures for larger defects are often associated with greater morbidity and technical complexity. The use of scar tissue interposition has been reported as a reconstructive option in chronic lesions. Building on this concept, we describe a technique that combines scar tissue interposition with reinforcement using flexor hallucis longus tendon transfer. This approach provides a moderately complex procedure that avoids the morbidity of more extensive reconstructions while restoring tendon continuity. The technique was performed in a patient with chronic Achilles rupture, achieving restoration of gait and functional recovery during follow-up. This method represents a feasible alternative for selected cases, expanding the surgical options available for chronic Achilles tendon reconstruction.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"6 1","pages":"Article 100603"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187822","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}

引用次数: 0

Surgical management of intraosseous lipoma of the calcaneus with pathological fracture and subsequent treatment of complications: A case report and literature review 跟骨骨内脂肪瘤伴病理性骨折的手术治疗及并发症的治疗：1例报告并文献复习

Foot & ankle surgery (New York, N.Y.) Pub Date : 2026-03-01 Epub Date: 2026-01-10 DOI: 10.1016/j.fastrc.2026.100601

Levi Smith , Scott Carrington , Andrew Elliott

{"title":"Surgical management of intraosseous lipoma of the calcaneus with pathological fracture and subsequent treatment of complications: A case report and literature review","authors":"Levi Smith , Scott Carrington , Andrew Elliott","doi":"10.1016/j.fastrc.2026.100601","DOIUrl":"10.1016/j.fastrc.2026.100601","url":null,"abstract":"<div><div>Intraosseous lipoma is a very rare finding, which can occur in the calcaneus with unknown etiology. Up to 33% of these lesions are asymptomatic, with between 25–40% of lesions found incidentally. Patients often present with pain, tenderness and swelling, and in severe cases pathological fracture at initial presentation. The aim is to review a multi-faceted case involving evaluation and surgical management of a pathologic fracture of a large intraosseous lipoma of the calcaneus, and subsequent management of complications over a course of 9 months. An overview of the literature detailing intraosseous lipoma is also presented. 49-year-old male presents after a fall from four feet, immediate onset of pain to the right rearfoot, unable to ambulate. Physical exam revealed ecchymosis to medial instep, edema. Radiographs and CT initially obtained, and MRI later revealed intraosseous lipoma involving 80% of the body of the calcaneus with pathological intraarticular fracture. The patient underwent excision via curettage, void fill with bone cement, and plate and screw fixation. Patient later developed osteomyelitis of the calcaneus, requiring removal of hardware and bone cement, and later replacement with an antibiotic spacer. Patient has since required no further surgical intervention. This case presentation seeks to further the literature in understanding of intraosseous lipoma, in addition to the complicating pathologic fracture to the calcaneus.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"6 1","pages":"Article 100601"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976972","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}

引用次数: 0

Vascular tumor of the lower extremity: A case report and review of the literature 下肢血管肿瘤一例报告及文献复习

Foot & ankle surgery (New York, N.Y.) Pub Date : 2026-03-01 Epub Date: 2025-11-24 DOI: 10.1016/j.fastrc.2025.100590

Gianna M. Tuitele B.S. , Isabel Bathke B.A. , Layla Galavotti B.S. , Evelyn Heigh-Rosen D.P.M.

引用次数: 0