{"title":"From theory to practice: Integrating AI dictation","authors":"Steven R. Cooperman DPM, MBA, AACFAS","doi":"10.1016/j.fastrc.2025.100497","DOIUrl":"10.1016/j.fastrc.2025.100497","url":null,"abstract":"","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100497"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776730","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}
Mark J. Bullock DPM, FACFAS , Kyleigh Pierson DPM , Shivam U. Desai MS , Rebecca Hill Renirie MA, MLIS , Chin-I Cheng PhD , Marisa Samani BS , Nhan Tran DPM
{"title":"Influence of selective versus nonselective joint preparation in first metatarsophalangeal arthrodesis: A systematic review and meta-analysis","authors":"Mark J. Bullock DPM, FACFAS , Kyleigh Pierson DPM , Shivam U. Desai MS , Rebecca Hill Renirie MA, MLIS , Chin-I Cheng PhD , Marisa Samani BS , Nhan Tran DPM","doi":"10.1016/j.fastrc.2025.100496","DOIUrl":"10.1016/j.fastrc.2025.100496","url":null,"abstract":"<div><div>First metatarsophalangeal (MPJ) arthrodesis is a common and effective procedure for hallux rigidus and select patients with hallux valgus. Non selective joint preparation with conical reamers is the most common method for joint preparation in the literature. This meta-analysis compares patients who underwent 1st MPJ arthrodesis with reamer versus patients who underwent selective joint preparation with rongeurs and/or burrs. A systematic review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. PubMed, CINAHL, Cochrane, and Scopus databases were used to identify recent studies based on inclusion and exclusion criteria, and only patients with locking plate fixation were included. Twenty three studies with reamers and 5 studies with selective joint preparation met criteria. Many of the included studies in both treatment groups had low quality data with inadequate radiographic follow-up. A random effects model was utilized to compare union rates between the treatment groups. The estimated union rate was significantly higher (<em>p</em> = 0.03) for selective joint preparation, 99 % (95 % CI 98–100), compared with reamers, 93 % (95 % CI 91–96). Current data suggests selective debridement with rongeurs and/or burrs has superior union rates when 1st MPJ arthrodesis is performed with locking plate fixation.</div><div><strong>Level of Clinical Evidence:</strong> 3</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100496"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768472","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}
Junaid Akbar DPM (Podiatric Resident) , Jonathan Gabor MD (Orthopedic Resident) , Stuart Katchis MD (Section Chief)
{"title":"Angioleiomyoma in the ankle mimicking a schwannoma: A case report and review of literature","authors":"Junaid Akbar DPM (Podiatric Resident) , Jonathan Gabor MD (Orthopedic Resident) , Stuart Katchis MD (Section Chief)","doi":"10.1016/j.fastrc.2025.100495","DOIUrl":"10.1016/j.fastrc.2025.100495","url":null,"abstract":"<div><div>A wide range of differentials arise when a soft tissue mass is encountered. Soft tissue masses of the foot and ankle are difficult to diagnose preoperatively due to delays in presentation and non-specific clinical findings. Further imaging and histological examination are needed for a definitive diagnosis. We present a case of interest of a patient who presented to clinic with a symptomatic solitary mobile mass of the ankle, which initially presented as a schwannoma clinically and on advanced imaging. Histological examination, after surgical excision, confirmed the diagnosis of benign angioleiomyoma. Angioleiomyoma is a rare benign tumor of the tunica media of vasculature smooth muscle. This case report adds to the sparse published literature on angioleiomyomas of the foot and ankle and may aid in the diagnosis of this rare condition.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100495"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737926","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":"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":"2025-03-10","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}
{"title":"Re-injury after arthroscopic anatomical reconstruction by allograft tendon of the lateral ankle ligaments treated by a new arthroscopic anatomical allograft reconstruction: A case report","authors":"Julien Paquot MD, David Ancelin MD,Ph","doi":"10.1016/j.fastrc.2025.100489","DOIUrl":"10.1016/j.fastrc.2025.100489","url":null,"abstract":"<div><div>Revision surgery after ligamentoplasty with anatomical reconstruction presents a complex challenge that remains underreported. This case report highlights a unique arthroscopic revision approach using a novel allograft technique, which has not been previously documented in the surgical literature. A 22-year-old female sustained trauma to her left ankle following a prior anatomical ligamentoplasty reconstruction of the anterior talofibular and calcaneofibular ligaments using an allograft. Persistent instability despite conservative management necessitated revision surgery. Clinical examination and MRI confirmed graft rupture and malposition of the talar tunnel. Arthroscopic revision ligamentoplasty was performed using a non-irradiated allograft with tunnel correction. A new blind talar tunnel (5 mm × 20 mm) was meticulously positioned in the \"bare zone\" of the talus, ensuring optimal biomechanical alignment. Postoperatively, the patient regained stability and resumed professional activities without recurrent instability episodes.</div><div><strong>Relevance and Impact:</strong><ul><li><span>•</span><span><div>Correcting the improper placement of bone tunnels during revision surgery is critical for successful outcomes.</div></span></li><li><span>•</span><span><div>Arthroscopic approaches allow for comprehensive joint inspection while minimizing surgical morbidity.</div></span></li><li><span>•</span><span><div>The use of allografts in revision procedures avoids donor site morbidity while ensuring optimal functional recovery.</div></span></li></ul></div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100489"},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737925","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}
Anthony Schwab DPM, MS , Corine L. Creech DPM, FACFAS
{"title":"Minimally invasive zadek osteotomy: A cadaveric study of structures at risk","authors":"Anthony Schwab DPM, MS , Corine L. Creech DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100491","DOIUrl":"10.1016/j.fastrc.2025.100491","url":null,"abstract":"<div><div>Minimally invasive surgery (MIS) has continued to expand with respect to applications throughout the forefoot and into the hindfoot. Our center has performed the minimally invasive Zadek osteotomy in ten fresh frozen cadaver limbs through a single percutaneous incision. Distances in millimeters (mm) were measured from the anterior and posterior arm of the osteotomy to identify nearby anatomical structures. We documented the position of the peroneal sheath and sural nerve relative to the lateral portal, and the position of the tibialis posterior tendon (TP), flexor digitorum longus tendon (FDL), posterior tibial artery (PTA), posterior tibial vein (PTV), and flexor hallucis longus (FHL). The average distance of the sural nerve and the peroneal sheath from the anterior and posterior aspect of the osteotomy about the lateral portal was 6.65, 11.21 and 21.84, 23.26 mm, respectively. No medial neurovascular or tendinous structure was damaged as a result of the osteotomy, and the closest medial structure at risk was the tibial nerve at an average of 24.51 mm from the anterior arm of the osteotomy and 18.21 mm from the posterior arm of the osteotomy. While several technique guides have been discussed, to our knowledge this is the first study looking into structures at risk for this specific procedure with previously established anatomic portals.</div><div>Level of clinical evidence: Level V Cadaveric Study</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100491"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636876","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}
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":"2025-03-02","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}
Miranda G. Montion M.A. , Quinn Schroeder D.P.M. , Danielle Brewer D.P.M. , Rujul Patel B.S. , Maryam Ameen B.A. , Aneesha N. Usman M.S. , Kyle McKray Smith D.P.M.
{"title":"Recalcitrant calcaneal intraosseous lipoma treated with a cadaveric femoral head allograft plug and internal fixation in a 22-year-old military veteran: A case report","authors":"Miranda G. Montion M.A. , Quinn Schroeder D.P.M. , Danielle Brewer D.P.M. , Rujul Patel B.S. , Maryam Ameen B.A. , Aneesha N. Usman M.S. , Kyle McKray Smith D.P.M.","doi":"10.1016/j.fastrc.2025.100469","DOIUrl":"10.1016/j.fastrc.2025.100469","url":null,"abstract":"<div><h3>Introduction</h3><div>Intraosseous lipomas (IOL's) are rare benign tumors of mature adipose tissue within the bone, most commonly found in the calcaneus, femur, tibia, and humerus. These lesions are typically asymptomatic and often discovered incidentally in imaging studies. Calcaneal IOL's pose unique challenges due to their location and potential for significant structural compromise.</div></div><div><h3>Body</h3><div>Here we describe a young male with a recalcitrant calcaneal IOL's without remission of symptoms from previous treatments. Surgery consisted of aggressive lesion debridement with remodeling and interpositional packing of a cadaveric femoral head allograft and tibial autograft Additionally, the construct was secured with a lag screw and supported by an anatomic lateral wall plate. The patient at two years post-operation has returned to normal weight-bearing, comfortable ambulation, and increased quality of life working as a full-time mail carrier.</div></div><div><h3>Conclusion</h3><div>To the authors’ knowledge, this is the first report of an IOL's in the foot and ankle literature treated with a cadaveric femoral head allograft and internal fixation. Our approach underscores the efficacy of combining aggressive tumor resection with structural allografts and non-structural autografts protected with internal fixation, offering a promising alternative in managing benign calcaneal neoplasms refractory to conventional therapies.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100469"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510330","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}
Thomas Poynter DPM , Kaitlyn J. Loesel DPM , Michael Sweeney DPM , Alden Simmons DPM , Brandon Kitchens DPM , Timothy Ford DPM , Nicholas Laco DPM
{"title":"Intramedullary use of an antibiotic synthetic bone filler in diabetics undergoing metatarsal amputation(s)","authors":"Thomas Poynter DPM , Kaitlyn J. Loesel DPM , Michael Sweeney DPM , Alden Simmons DPM , Brandon Kitchens DPM , Timothy Ford DPM , Nicholas Laco DPM","doi":"10.1016/j.fastrc.2025.100484","DOIUrl":"10.1016/j.fastrc.2025.100484","url":null,"abstract":"<div><div>The use of intramedullary devices to treat osteomyelitis has been documented as being effective and safe. Technology has limited the use of this technique to long bones with application on an intramedullary nail or rod. In this paper, we describe a novel technique using antibiotic synthetic bone void filler (ASBVF) applied into the medullary canal of a transmetatarsal amputation. This backfills a necrotic void and creates a bioabsorbable, antibiotic impregnated filler to resist and treat further advancement or recurrence of osteomyelitis after resection.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100484"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519083","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)00027-8","DOIUrl":"10.1016/S2667-3967(25)00027-8","url":null,"abstract":"","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100492"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637524","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}