Clinics in Podiatric Medicine and Surgery

Soft Tissue Balancing After Partial Foot Amputations

July 7, 2015

Partial foot amputations have become common procedures for the foot and ankle surgeon as part of a limb salvage practice. These procedures are highly technique driven and there are many complex factors that affect the outcome and longevity. Appropriate surgical planning must be used with every partial foot amputation to ensure a plantigrade foot with the least potential for future breakdown.

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Tibialis Anterior Tendon Transfer for Posterior Tibial Tendon Insufficiency

July 7, 2015

The Cobb procedure is useful for addressing stage 2 posterior tibial tendon dysfunction and is often accompanied by a medial displacement calcaneal osteotomy and/or lateral column lengthening. The Cobb procedure can also be combined with selected medial column arthrodesis and realignment osteotomies along with equinus correction when indicated.

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Osteotomies for the Management of Charcot Neuroarthropathy of the Foot and Ankle

July 1, 2015

Patients with diabetic neuropathy that develop unstable Charcot neuroarthropathy not only have an autoimmune disease that prolongs the healing process, they also often have an inability to maintain a non–weight bearing status. Charcot neuroarthopathy is often devastating to the structure and stability of the foot and ankle

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Corrective Osteotomies Used in Cavus Reconstruction

July 1, 2015

The authors dedicate this article to describing the clinical work-up and etiology for a cavus foot deformity as well as the surgical decision making for correction.

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Fifth Metatarsal Osteotomies

July 1, 2015

A tailor’s bunion or bunionette deformity is a combination of osseous and soft tissue bursitis on the lateral aspect of the fifth metatarsal head. This article discusses 7 corrective measures: medial oblique sliding osteotomy with fixation, medial oblique slide osteotomy–minimal incision procedure without fixation, SERI (simple, effective, rapid, inexpensive) with fixation, chevron with or without fixation, closing, lateral wedge osteotomy at the metatarsal neck or proximal diaphysis, Weil osteotomy, and scarfette.

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Metatarsus Primus Varus Correction

July 1, 2015

We present a discussion on the use of proximal first-ray osteotomies in the surgical treatment for hallux valgus as a valid option compared with first-tarsometatarsal arthrodesis. Recent and historical literature tells us that stability of the first ray is a function of the alignment and reestablishment of retrograde stabilizing forces at the first tarsometatarsal joint

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