Journal of Foot and Ankle Surgery

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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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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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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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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Mineral Density and Penetration Strength of the Subchondral Bone Plate of the Talar Dome: High Correlation and Specific Distribution Patterns

November 15, 2014

The subchondral bone plate plays an important role in stabilizing the osteochondral joint unit and in the pathomechanism of osteochondral lesions and osteoarthritis. The objective of the present study was to measure the mineral density distribution and subchondral bone plate penetration strength of the talar dome joint facet to display and compare the specific distribution patterns

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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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A Clinical Evaluation of the Pirani and Dimeglio Idiopathic Clubfoot Classifications

November 13, 2014

The clubfoot classifications described by Pirani and by Dimeglio are in widespread use today in foot and ankle surgical practice and are used to differentiate between lesions and compare treatment results. The aim of the present study was to determine whether in an independent center, one or both classification systems can be implemented practically and in a reproducible manner.

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