Foot and Ankle Surgery

Limb Salvage in Secondary Chondrosarcoma of the Metatarsus

November 22, 2014

Malignant transformation of metatarsal osteochondroma into chondrosarcoma is a rare entity. The most optimal line of treatment, salvage procedure or amputation, continues to be debated.

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Comparison of Wedge Resection (Winograd Procedure) and Wedge Resection Plus Complete Nail Plate Avulsion in the Treatment of Ingrown Toenails

November 22, 2014

The present retrospective study compared the efficacy of wedge resection (Winograd procedure) and wedge resection plus complete nail plate avulsion for the treatment of ingrown toenails (onychocryptosis).

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Posterior Tibial Labrum Injury in a Professional Soccer Player: A Case Report

November 21, 2014

Ankle ligament injuries are one of the most frequent lesions identified in professional soccer players. In most cases, the ligaments involved are the anterior talofibular ligament and the calcaneal fibular ligament. In the present report, we describe a professional soccer player who sustained an ankle sprain that did not respond to initial therapy.

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An Unusual Ankle Injury: The Bosworth-Pilon Fracture

November 21, 2014

The Bosworth injury occurs when the distal fibula becomes entrapped posterior to the posterior tibial tubercle, usually as a result of a supination external rotation injury. This uncommon occurrence is a recognized cause of an irreducible ankle dislocation. A pilon fracture is usually a high-energy injury caused by the talus being driven upward into the tibial plafond.

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Enhanced Lapidus Arthrodesis: Crossed Screw Technique with Middle Cuneiform Fixation Further Reduces Sagittal Mobility

November 21, 2014

Persistent medial column sagittal mobility can be encountered despite successful first tarsometatarsal stabilization if fixation has been limited to the first tarsometatarsal joint. The purpose of the present cadaveric research was to quantify the effect of a third point of fixation from the base of the first metatarsal to the middle cuneiform compared with the traditional isolated first tarsometatarsal fixation

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Reconstruction of Traumatic Composite Tissue Defect of Medial Longitudinal Arch with Free Osteocutaneous Fibular Graft

November 19, 2014

A 34-year-old male sustained a crush injury resulting in bone and soft tissue loss along the medial longitudinal arch of his left foot.

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Use of a Definitive Cement Spacer for Simultaneous Bony and Soft Tissue Reconstruction of Mid- and Hindfoot Diabetic Neuroarthropathy:A Case Report

November 15, 2014

The prevalence of diabetes mellitus has been increasing, and ≤25.8 million people, or 8.3% of the US population, have diabetes. Diabetic Charcot arthropathy and foot ulcers are serious complications of diabetes mellitus

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Osteochondroma of the Talar Neck: A Case Report and Literature Review

November 15, 2014

Osteochondroma occurs most frequently in the long bones such as the proximal humerus, tibia, and distal femur. It is rare for it to originate in the talar neck. In the present case report, we describe a case of osteochondroma arising from the talar neck.

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Simultaneous Use of Lateral Calcaneal Ostectomy and Subtalar Arthroscopic Debridement for Residual Pain After a Calcaneal Fracture

November 15, 2014

Inadequate primary treatment of calcaneal fractures frequently results in persistent, residual pain. This can be caused by subtalar arthritis, an increased calcaneal width, and/or calcaneal fibular impingement of the peroneal tendons. Many patients experience multiple disorders simultaneously, requiring a combination of procedures to treat the injury

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Fluoroquinolone-Mediated Achilles Rupture: A Case Report and Review of the Literature

November 15, 2014

Fluoroquinolone use for the treatment of bacterial infections is a common practice for foot and ankle surgeons because of its rather broad-spectrum coverage against common pathogens, good tissue penetration, and high bioavailability. An associated risk of tendinopathy has been reported in published studies, although tendon rupture has been much less frequent. In addition, tendinopathy has been more commonly reported with earlier generations of fluoroquinolones

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