Foot and Ankle Surgery

Why The ACFAS Conference Represents The Best Of Our Profession

March 4, 2015

Did you attend the recent American College of Foot and Ankle Surgeons (ACFAS) Annual Scientific Conference?

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First Tarsometatarsal Arthrodesis: An Anatomic Evaluation of Dorsomedial Versus Plantar Plating

March 4, 2015

Fusion of the first tarsometatarsal joint is a widely used procedure for the correction of hallux valgus deformity. Although dorsomedial H-shaped plating systems are being increasingly used, fusion can also be achieved by plantar plating. The goal of the present study was to compare these 2 operative techniques based on the anatomic considerations and show the potential pitfalls of both procedures

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Radiation Therapy for Recurrent Heterotopic Ossification Prophylaxis After Partial Metatarsal Amputation

March 4, 2015

The formation of heterotopic ossification is a relatively common, yet rarely discussed, cause of re-ulceration after previous partial metatarsal amputation. Excessive bone growth at the amputation site has the potential to create an unwanted prominence on the weightbearing surface of the foot, intuitively increasing plantar pressure and placing the neuropathic patient at greater risk of re-ulceration and limb loss. The aim of the present study was to assess the efficacy of single-dose radiation therapy in preventing recurrent heterotopic ossification.

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Reply to “Re: ‘The impact of ankle osteoarthritis. The difference of opinion between patient and orthopedic surgeon’ [Foot Ankle Surg. 20 (2014)…

February 12, 2015

Publication date: March 2015 Source: Foot and Ankle Surgery, Volume 21, Issue 1

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17th EFAS Instructional Course

February 12, 2015

Publication date: March 2015 Source: Foot and Ankle Surgery, Volume 21, Issue 1

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Re: “The impact of ankle osteoarthritis. The difference of opinion between patient and orthopedic surgeon” [Foot Ankle Surg. 20 (2014) 241–247]

February 12, 2015

Publication date: March 2015 Source: Foot and Ankle Surgery, Volume 21, Issue 1 Author(s): M.C. Cöster , M.K

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Medial and Lateral Plantar Artery Angiosome Rotational Flaps for Transmetatarsal and Lisfranc Amputation in Patients With Compromised Plantar Tissue

February 11, 2015

Traditional incision techniques for midfoot amputation might not provide immediate soft tissue coverage of the underlying metatarsal and tarsal bones in the presence of a large plantar soft tissue defect. Patients undergoing transmetatarsal and Lisfranc amputation frequently have compromised plantar tissue in association with neuropathic ulcers, forefoot gangrene, and infection, necessitating wide resection as a part of the amputation procedure. Open amputation will routinely be performed under these circumstances, although secondary healing could be compromised owing to residual bone exposure.

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Breaking bad: Ankle fracture study highlights mortality

February 10, 2015

Is ankle fracture in the elderly the new hip fracture? Hip fractures in older adults have often been linked to high mortality rates, and a recent study suggests the same may be true of ankle fractures, given that some of the same variables are at play.

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How effective is the gastroc recession for plantar fasciitis?

February 10, 2015

Gastrocnemius recession may be effective in reducing pain for patients with plantar fasciitis, according to a recent study. The study, published in Foot and Ankle Surgery, focused on 73 patients who received gastrocnemius recession as a single procedure between 2006 and 2011. Sixty-two patients reported a good or excellent result, 11 percent of patients reported a significant postoperative complication and 22 percent related having reduced or severely reduced plantarflexion power after surgery, according to the study.

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Isolated osteochondral fracture of the metatarsal head of lesser toes

February 9, 2015

Publication date: Available online 9 February 2015 Source: Foot and Ankle Surgery Author(s): T.H. Lui , Tun Hing Lui Isolated fracture of the metatarsal head is very rare and no consensus has been reached regarding their best management

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