Teeya Raghunandan DPM, Rahman Majid DPM, Raymond Ferguson DPM, Ashley T. Russo DPM, April Bailey-Maletta DPM
{"title":"Stingray envenomation in the foot & its effects on wound healing: A case report","authors":"Teeya Raghunandan DPM, Rahman Majid DPM, Raymond Ferguson DPM, Ashley T. Russo DPM, April Bailey-Maletta DPM","doi":"10.1016/j.fastrc.2025.100480","DOIUrl":"10.1016/j.fastrc.2025.100480","url":null,"abstract":"<div><div>Stingray injuries to the lower extremity are far more common and dangerous than one may consider. Stingray venom has a multitude of local and systemic effects, including tissue necrosis, vasoconstriction, and ischemia.<sup>1,2,3</sup> Due to the venomous nature of stingrays, these injuries should not be taken lightly, especially if a wound has been sustained. If left untreated, delayed wound healing leading to a chronic wound may occur.<sup>4,5</sup> Prompt and urgent care should be taken with these patients to ensure the best healing probability. Herein, we report a 60-year-old male who developed a wound after sustaining a stingray injury to his foot.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100480"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592223","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":"Dorsal dislocation of the first metatarsophalangeal joint with first metatarsal fracture: A case report","authors":"Ronald G. Ray DPM, FACFAS, WCC, PT","doi":"10.1016/j.fastrc.2025.100471","DOIUrl":"10.1016/j.fastrc.2025.100471","url":null,"abstract":"<div><div>Dislocation of the first metatarsophalangeal joint most commonly occurs in a dorsal direction, although dorsolateral, lateral, and plantar dislocations have been described. The current case involves a dorsal dislocation of the first metatarsophalangeal joint with intersesamoid ligament rupture (Jahss IIA). Concomitant injury to the Lisfranc complex consisted of a plantarly impacted, vertical transverse fracture at the base of the first metatarsal, distal to the first metatarsal cuneiform joint. Reduction of the first metatarsophalangeal joint dislocation was not possible until the first metatarsal base fracture was reduced. Due to the proximity of the fracture to the first metatarsal cuneiform joint, the fracture fragment was removed, and a bone block distraction first metatarsal cuneiform arthrodesis was performed. Twenty-two months following the injury the patient had returned to all activities but noted some reduction in first metatarsophalangeal joint motion.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100471"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854603","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":"Not your father's palliative care","authors":"Susan M. Walsh DPM, MBA","doi":"10.1016/j.fastrc.2025.100494","DOIUrl":"10.1016/j.fastrc.2025.100494","url":null,"abstract":"<div><div>The specialty and prevalence of palliative care has substantially grown in the past two decades, such that multiple professional organizations are addressing the topic as it uniquely influences their providers and patient populations. A 66 year old female with a bimalleolar ankle fracture in the setting of multiple comorbid conditions provides an example of the need for including the principles of palliative medicine in the care of those patients with foot and ankle pathology.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100494"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716090","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}
Ramez Sakkab DPM , Hafsah Dean DPM , Scott Shoemaker MD , Ryan O'Shea MD
{"title":"Three-dimensional navigation assisted pediatric foot and ankle surgery: Operative technique and safety profile","authors":"Ramez Sakkab DPM , Hafsah Dean DPM , Scott Shoemaker MD , Ryan O'Shea MD","doi":"10.1016/j.fastrc.2025.100482","DOIUrl":"10.1016/j.fastrc.2025.100482","url":null,"abstract":"<div><div>Computer-assisted surgery (CAS) is an innovative technology that provides surgeons with three-dimensional navigation (TDN) to optimize intraoperative visualization and guidance. Computer-assistance after intraoperative cone beam computed tomography is predominantly found in spinal surgery. The senior authors have applied the same principles and techniques to some lower extremity pathologies. The present study reviews lower extremity operative technique and safety profile with three-dimensional real-time navigation at a single institution. Technique for retrograde drilling of osteochondral lesions of the talus and pedal coalition resection(s) are presented. At our institution, thirty-five computer-assisted foot and ankle cases were identified from 2015 to 2022. Complications occurred in 8.6 % of cases (3/35). Over the past decade, the authors have employed a low dose protocol for intraoperative cone beam computed tomography. Doses from each tarsal coalition and talar osteochondral defect case were averaged, resulting in 1.48 and 1.14 milliGrays (mGy), respectively. Both surgeries demonstrate below 25 % of the annual background radiation dose (6.2 mGy). Further research is needed regarding three-dimensional navigation in foot and ankle surgery along with comparisons to radiation exposure via intraoperative fluoroscopy in similar cases.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100482"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892221","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}
Michael J. Radcliffe DPM, AACFAS , Ramez Sakkab DPM, AACFAS , Jeffrey E. McAlister DPM, FACFAS
{"title":"Fourth generation minimally invasive hallux valgus surgery: A technical variation on two-screw fixation and case series","authors":"Michael J. Radcliffe DPM, AACFAS , Ramez Sakkab DPM, AACFAS , Jeffrey E. McAlister DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100504","DOIUrl":"10.1016/j.fastrc.2025.100504","url":null,"abstract":"<div><div>Minimally invasive bunion surgery (MIBS) is an increasingly popular choice in the treatment of hallux valgus. While it is not a new concept, advancements in surgical technique and equipment have reinvigorated the excitement around the procedure. The fourth generation of MIBS traditionally consists of two screws oriented parallel in a transverse or horizontal relationship. The aim of this study is to describe a technical variation in MIBS screw orientation with a sagittal or vertical orientation and evaluate the potential benefits.</div><div>The authors performed MIBS on 50 feet across 48 patients according to the fourth generation technique with both standard horizontal screw orientation and a vertical screw orientation variation. Patient outcomes, VAS scores, radiographic foot widths, and complications were recorded and compared between the two groups.</div><div>Vertical screw orientation demonstrated similar results compared to horizontal screw orientation in all categories. Vertical screw orientation had the additional benefit of maintaining or decreasing the midshaft width. The authors believe fourth generation MIBS performed with a vertical screw orientation variant is a viable technique with additional benefits compared to traditional horizontal screw orientation, although further follow up studies are required.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100504"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139405","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}
Lisa Grant-McDonald , Anna Hronek , Adrienne Estes
{"title":"Transverse bone transport for the treatment of dysvascular complex wounds of the foot: a case series","authors":"Lisa Grant-McDonald , Anna Hronek , Adrienne Estes","doi":"10.1016/j.fastrc.2025.100486","DOIUrl":"10.1016/j.fastrc.2025.100486","url":null,"abstract":"<div><div>Transverse bone transport (TBT) has emerged as a promising surgical intervention for foot dysvascular wounds, leveraging distraction osteogenesis principles to stimulate angiogenesis and neovascularization. This case series evaluates six patients who underwent TBT to treat recalcitrant ischemic wounds. Retrospective analysis assessed wound healing, vascular improvement, and procedural outcomes over a 12-month follow-up. The findings indicate that TBT promotes wound closure and limb preservation in patients with severe peripheral arterial disease, highlighting its potential as a viable limb salvage technique.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100486"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579969","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":"About the Journal","authors":"","doi":"10.1016/S2667-3967(25)00053-9","DOIUrl":"10.1016/S2667-3967(25)00053-9","url":null,"abstract":"","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100518"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490119","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":"Novel surgical correction of brachymetatarsia using 3D printed custom implant","authors":"David Kalambet , Lawrence Fallat","doi":"10.1016/j.fastrc.2025.100501","DOIUrl":"10.1016/j.fastrc.2025.100501","url":null,"abstract":"<div><div>Brachymetatarsia is a condition of congenital shortening of the metatarsal. Surgical intervention traditionally consists of lengthening procedures of the metatarsal utilizing techniques such as distraction osteogenesis and bone allograft/autograft implantation. These procedures can lead to a variety of complications including stiffness, malalignment, resorption of bone, and delayed consolidation. Intervention consisting of a custom 3D printed implant can maintain metatarsal length following an osteotomy without risk of bone graft resorption. To our knowledge, we are presenting the first case of using a 3D printed custom implant used to restore metatarsal length. The patient is a 56-year-old female with painful brachymetatarsia involving the fourth metatarsal of her left foot and complaining of 8/10 pain. The patient’s fourth metatarsal was 11.8 mm shorter than the fifth metatarsal. The patient underwent fourth metatarsal osteotomy with distraction and insertion of 3D printed custom implant. The length of the patient’s fourth metatarsal was successfully maintained with insertion of the implant and stabilization with a plate and screws. At 36 months post-operatively, there was no evidence of resorption, malalignment, or delayed consolidation.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100501"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912141","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}
Yashkumar Bhalala DPM , Lawrence Fallat DPM FACFAS
{"title":"Revisional total ankle arthroplasty for a unique case of late periprosthetic joint infection","authors":"Yashkumar Bhalala DPM , Lawrence Fallat DPM FACFAS","doi":"10.1016/j.fastrc.2025.100488","DOIUrl":"10.1016/j.fastrc.2025.100488","url":null,"abstract":"<div><div>We present a rare case of an infection seeding from a sinus infection in a patient who had previously undergone total ankle arthroplasty (TAA). Instances of sinus infections leading to periprosthetic joint infection (PJI) are uncommon. Effective diagnosis, management, and treatment are crucial. The surgical approach for these cases includes the removal of the loosened and painful tibial and talar components, eradication of the infection, and reconstruction. Once the infection has been resolved, the final procedure involves implanting a stemmed tibial and talar component. This technique offers an alternative to post-TAA ankle arthrodesis.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100488"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143601462","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":"Deltoid ligament repair and augmentation using the posterior tibial tendon during hindfoot arthrodesis in Progressive Collapsing Foot Deformity: A novel technique","authors":"Turki Almugren MBBS , Sulaiman Alrefai MB, BCh, BAO , Shahin Kayum MD, ABOS, MRCS , Jasim Alsaei MD, FRCSC , Timothy Daniels MD, FRCSC","doi":"10.1016/j.fastrc.2025.100500","DOIUrl":"10.1016/j.fastrc.2025.100500","url":null,"abstract":"<div><h3>Introduction</h3><div>Progressive Collapsing Foot Deformity (PCFD), or Adult Acquired Flatfoot Deformity (AAFFD), leads to medial longitudinal arch collapse and ankle instability, with deltoid ligament insufficiency exacerbating valgus talar tilt. Despite multiple reconstruction methods, an optimal approach remains elusive.</div></div><div><h3>Technique</h3><div>This study presents a novel technique for deltoid ligament repair and augmentation using the posterior tibial tendon (PTT) in patients undergoing hindfoot arthrodesis for PCFD. A medial approach is used for both hindfoot fusion and PTT harvesting. The tendon is split into superior and inferior arms, which are utilized to reinforce the tibionavicular and tibiocalcaneal bands. Nonabsorbable sutures and suture anchors secure fixation, while hindfoot fusion is completed using cannulated screws. Postoperative weight-bearing is gradually advanced.</div></div><div><h3>Discussion</h3><div>This technique improves medial ankle stability while preserving native deltoid ligament tissue. By augmenting the ligament with the PTT, it avoids the risks associated with allografts and donor site morbidity. Preliminary intraoperative and radiographic findings show enhanced coronal and sagittal stability, indicating potential benefits in restoring ankle alignment and function. This novel augmentation strategy offers a promising alternative for managing medial ankle instability in PCFD patients undergoing hindfoot fusion. However, further studies comparing its long-term outcomes to other techniques are essential to validate its efficacy.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100500"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902423","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}