Clinics in Podiatric Medicine and Surgery

Combined Tendon and Bone Allograft Transplantation for Chronic Achilles Tendon Ruptures

August 29, 2015

Combined flexor hallucis longus tendon transfer and bone-tendon allograft transplantation is a reasonable option for advanced distal-segment Achilles tendinopathy. This procedure provides anatomic restoration and improved function of the posterior muscle group without sacrificing the regional anatomy

Read the full article →

Hibbs Tenosuspension

August 29, 2015

Hibbs tenosuspension is an underutilized procedure when it comes to dealing with lesser toe pathology in conditions such as Charcot-Marie-Tooth disease.

Read the full article →

Surgical Correction of Rigid Equinovarus Contracture Utilizing Extensive Soft Tissue Release

August 20, 2015

Although deforming contractures of the lower extremities after acute cerebrovascular events are well documented in the literature, there is limited literature regarding specific surgical considerations for the correction of these deformities, which are nonosseus in nature.

Read the full article →

Painful Osteophytes, Ectopic Bone, and Pain in the Malleolar Gutters Following Total Ankle Replacement

August 19, 2015

The development of osteophytes, ectopic bone, or malleolar impingement following total ankle replacement represents common complications that will frequently lead to secondary procedures to relieve painful impingement. Many studies have been conducted to discover the cause of these postoperative impingement syndromes; however, there is a paucity of literature with regard to the prevention, diagnosis, and management of these conditions.

Read the full article →

Calcific Insertional Achilles Tendinopathy

August 13, 2015

Calcific insertional Achilles tendinopathy can result in significant pain and disability. Although some patients respond to nonoperative therapy, many patients are at risk for long-term morbidity and unpredictable clinical outcomes

Read the full article →

Tendon Transfers and Salvaging Options for Hallux Varus Deformities

August 10, 2015

Hallux varus is an infrequently encountered deformity of the first ray characterized by a medial deviation of the hallux on the first metatarsal head at the first metatarsal phalangeal joint. Iatrogenic flexible hallux varus often requires surgical repair to create a functional, pain-free, shoeable foot. Although arthrodesis remains the mainstay of treatment, many soft tissue transfer procedures have been described in the literature as joint-sparing alternatives to fusion

Read the full article →

Flexor Digitorum Longus Tendon Transfer and Modified Kidner Technique in Posterior Tibial Tendon Dysfunction

August 8, 2015

The modified Kidner procedure and flexor digitorum longus tendon transfer are common procedures used today when addressing posterior tibial tendon dysfunction. These techniques are often used in conjunction with a combination of osteotomies to correct flatfoot deformity, and have been proved to be reliable and predictable.

Read the full article →

Tendon Transfers for Management of Digital and Lesser Metatarsophalangeal Joint Deformities

August 8, 2015

Managing digital and metatarsophalangeal joint (MTPJ) deformities can range from simple to complex and uniplanar to triplanar. Because of the complexity and variability of digital and MTPJ deformities, there are many procedures, and no 1 procedure has become the gold standard. Tendon transfers for digital and MTPJ deformities are just 1 treatment option, and usually they are not stand-alone procedures.

Read the full article →

Principles and Biomechanical Considerations of Tendon Transfers

August 7, 2015

Whether performed as a primary procedure or used to augment and support osseous reconstruction, tendon transfers are a key skill for the foot and ankle surgeon.

Read the full article →

Secondary Procedures in Total Ankle Replacement

August 4, 2015

This issue of Clinics in Podiatric Medicine and Surgery is focused on secondary procedures in Total Ankle Replacement (TAR) and is completing previous issues on primary and revisional TAR led by our guest editor, Dr Roukis. Secondary procedures in TAR include a wide variety of surgical entities including but not limited to periarticular foot and ankle osteotomies, tendinous/ligamentous reconstruction, and arthrodesis of adjacent joints.

Read the full article →