Foot and Ankle Clinics

Calcaneal Osteotomy in the Treatment of Adult Acquired Flatfoot Deformity

April 12, 2012

Adult acquired flatfoot deformity (AAFD) is a chronic, debilitating condition common beyond middle age.

Read the full article →

Update on Stage IV Acquired Adult Flatfoot Disorder: When the Deltoid Ligament Becomes Dysfunctional

April 12, 2012

The posterior tibial tendon plays a central role in maintaining proper foot alignment. Dysfunction of the posterior tibial tendon leads to acquired adult flatfoot deformity (AAFD), a condition that can be both painful and disabling. There are four stages of AAFD, which correlate to increasing deformity.

Read the full article →

Tarsal Coalitions in the Adult Population: Does Treatment Differ from the Adolescent?

April 9, 2012

The diagnosis and treatment of tarsal coalition in the adolescent population have been well described, but there is a paucity of information regarding adult coalitions. The overall incidence, albeit rather unknown, has been stated to be less than 1%. As a large proportion of adult coalitions are discovered incidentally, the overall incidence may be higher than previously reported.

Read the full article →

Tendon Transfer Options in Managing the Adult Flexible Flatfoot

April 9, 2012

Posterior tibial tendon (PTT) dysfunction is a disorder in which there is a symptomatic pathologic condition involving the PTT and/or spring ligament complex. Some patients with PTT dysfunction previously had a normal or slightly cavus arch before acquiring a flexible flatfoot during adulthood.

Read the full article →

Management of the Recurrent Deformity in a Flexible Foot Following Failure of Tendon Transfer: Is Arthrodesis Necessary?

April 9, 2012

Johnson and Strom, as well as other authors, described a classification system for adult-acquired flatfoot deformity, which was later modified by Myerson and colleagues. The classification is helpful as it relates to directing treatment. Broadly speaking, stages I and II represent flexible flatfoot deformities, while stages III and IV represent more severe fixed deformities.

Read the full article →

The Calcaneo-Stop Procedure

April 5, 2012

Flexible flatfoot is one of the most common deformities of the human body. Whereas this condition is sometimes asymptomatic, it can also cause pain, difficulty walking, and physical impairment.

Read the full article →

Young’s Procedure for the Treatment of Valgus Flatfoot Deformity Caused by a Posterior Tibial Tendon Dysfunction, Stage II

April 5, 2012

Flatfoot in adults caused by a dysfunction of the posterior tibial tendon is a frequent pathology for which several therapies have been proposed, for instance tendon transfers and bone procedures.

Read the full article →

Varus Ankle and Osteochondral Lesions of the Talus

March 1, 2012

To our knowledge, little is reported about the management of the patients with combined symptomatic osteochondral lesions of the talus (OLT) and varus ankle malalignment. Treatment strategies for symptomatic OLTs are relatively well described in the orthopaedic literature.

Read the full article →

Varus Hindfoot Deformity After Talar Fracture

December 26, 2011

The unique anatomy of the talus contributing to three important joints makes its integrity and joint congruency crucial for normal foot function. Consequently, posttraumatic malalignment of the talus with resultant deformity almost invariably leads to painful functional impairment.

Read the full article →

The Varus Ankle and Instability

December 14, 2011

Hindfoot varus has been recognized as an anatomic risk factor that promotes chronic lateral ankle instability. Hindfoot varus is present in 8% of patients with ankle instability, and with 28% it is the most commonly found condition in patients with persisting pain or recurrent instability after lateral ankle ligament reconstruction

Read the full article →

← Previous Entries