Foot and Ankle Clinics

Managing Pediatric Foot and Ankle Deformity

December 1, 2015

FOOT AND ANKLE CLINICS

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Tarsal Coalitions – Calcaneonavicular Coalitions

December 1, 2015

Calcaneonavicular coalitions are an important cause of adolescent foot pain and deformity. The congenital condition is characterized by an aberrant osseous, cartilaginous, or fibrinous union of the calcaneal and navicular bones

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Osteotomies of the Talar Neck for Posttraumatic Malalignment

November 13, 2015

A talar neck malunion is one of the major complications following operative or nonoperative treatment of talar neck fractures. The most common posttraumatic talar malunion results in varus malalignment of the talar neck and can lead to painful overload of the lateral foot and substantial impairment of hindfoot function.

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Corrective Osteotomies for Malunited Tongue-Type Calcaneal Fractures

November 13, 2015

Displaced tongue-type fractures of the calcaneus can lead to severe pain and disability if not treated appropriately. Failure to reduce articular displacement may require subtalar joint arthrodesis with subsequent loss of function.

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Extraarticular Supramalleolar Osteotomy for Managing Varus Ankle Osteoarthritis, Alternatives for Osteotomy

November 13, 2015

The supramalleolar osteotomy has been reported to be a joint preserving surgery with good clinical outcome for asymmetric ankle osteoarthritis, especially varus ankle osteoarthritis. Conventional supramalleolar osteotomy of the tibia and fibula creates angulation and translation of the ankle joint without changing the width of the ankle mortise. Distal tibial oblique osteotomy improved the preoperative clinical and radiological parameters; however, mean talar tilt angle did not decrease.

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Pediatric Ankle Fractures

October 16, 2015

Current clinical concepts are reviewed regarding the epidemiology, anatomy, evaluation, and treatment of pediatric ankle fractures. Correct diagnosis and management relies on appropriate examination, imaging, and knowledge of fracture patterns specific to children

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Neuromuscular Foot

October 16, 2015

Foot and ankle deformities in cerebral palsy can be effectively treated with surgery. Surgery should be considered in patients with significant deformity and those who have pain or difficulty with orthotic and shoe wear. Equinus contracture of both gastrocnemius and soleus can be treated with open tendoachilles lengthening; ankle valgus with medial epiphysiodesis.

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Treatment of Idiopathic Clubfoot in the Ponseti Era and Beyond

October 16, 2015

The initial treatment of idiopathic clubfoot was mostly surgical for the 1980s/1990s. In the latter half of the 1990s, there was a surge of interest in the Ponseti method of casting after the publication of Dr Ponseti’s 30-year results.

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Painful Flexible Flatfoot

October 16, 2015

Flatfoot is commonly encountered by pediatric orthopedic surgeons and pediatricians.

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Talocalcaneal Coalitions

October 14, 2015

Talocalcaneal coalitions present with complaints of flatfeet, foot or ankle pain after minor injury, or recurrent ankle sprains. Physical examination findings include limited subtalar motion and prominence inferior to the medial malleolus. Use of computed topography (CT) scan is recommended for preoperative planning.

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