Journal of Foot and Ankle Surgery

The Upside of Data Entry

May 1, 2016

In his September/October editorial, Dr. D.

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Fibular Nailing Seems an Effective Strategy to Decrease Treatment Crude Costs for AO-Type 44B Ankle Fractures in Elderly Patients

May 1, 2016

In the article, “Health Care Usage and Related Costs in Fibular Plating for AO Type 44-B Ankle Fractures in a Belgian University Hospital: An Exploratory Analysis,” which appears in this issue (1), we show that the costs for the operative treatment of unstable ankle fractures (AO type 44-B) strongly correlate with the length of stay (LOS) of the patient. In turn, the LOS itself is influenced not only by easily objectifiable variables such as treatment type and patient age but also by more difficult to measure parameters such as the level of process standardization and individual preferences of the surgeon, the patients, and their families.

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Are You Positive That the Simmonds-Thompson Test Is Negative? A Historical and Biographical Review

May 1, 2016

In our practice, as is true probably all over the world, the Simmonds-Thompson test is the reference standard clinical test used to diagnose rupture of the Achilles tendon. The test, often wrongly referred to as just the “Thompson test,” is easy to perform and has high sensitivity and specificity for diagnosing an acute Achilles tendon tear (1) (Supplemental Video S1). Interestingly, debate sometimes ensues regarding whether the test is positive when the foot plantarflexes on compression of the calf or is positive when the foot fails to plantarflex.

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Key Insights On Selecting Lasers For Your Practice

April 28, 2016

Issue Number:  Volume 29 – Issue 5 – May 2016 Author(s):  Kerry Zang, DPM, FACFAS Taking a critical look at manufacturer claims, this author provides keys to differentiating between heating and non-heating lasers. As a practitioner, I am constantly being bombarded by ads, sales representatives and articles stating how great laser therapy is, and that lasers can treat almost every condition in the world

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Emphasizing The Importance Of Research To Podiatric Residents

April 22, 2016

Issue Number:  Volume 29 – Issue 5 – May 2016 Author(s):  Christopher R. Hood, Jr., DPM, AACFAS After recently attending the American College of Foot and Ankle Surgery (ACFAS) Annual Scientific Conference, I feel the topic of research is relevant to discuss. Section:  Forum

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Short-Term Radiographic Results and Technique of Tibiotalocalcaneal Arthrodesis With a Posterior Anatomic Locking Plate

April 19, 2016

Tibiotalocalcaneal arthrodesis is a salvage procedure for severe hindfoot/ankle deformities, arthritis, avascular necrosis of the talus, failed total ankle replacement, and Charcot neuroarthropathy.

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Surgical Revascularization—An Innovative Approach to the Treatment of Talar Osteonecrosis Dissecans Stages II and III

April 16, 2016

Talar osteonecrosis dissecans is caused by osseous malperfusion, leading to destruction of the talar bone. The current reference standard for advanced stages lacking arthrosis is core decompression, followed by autologous cancellous bone grafting

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Combined Total Ankle Arthroplasty With Posterior Tibial Tendon Transfer for End-Stage Cavovarus Deformity

April 16, 2016

Posterior tibial tendon transfer has been described to reduce and balance the cavovarus deformity in those patients who receive a total ankle replacement for end-stage arthritis. In this article, we discuss the indications and provide a detailed description of the technique for this powerful procedure

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Operative Versus Nonoperative Treatment for Displaced Intra-Articular Calcaneal Fractures: A Meta-Analysis of Randomized Controlled Trials

April 15, 2016

The purpose of the present study was to perform an updated meta-analysis of the operative versus nonoperative treatment of displaced intra-articular calcaneal fractures in adults. We searched the Cochrane Library, MEDLINE, EMBASE, and Google Scholar for eligible studies. All published randomized controlled trials comparing operative with nonoperative treatment for displaced intra-articular calcaneal fractures were eligible.

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A New Radiographic Classification for Distal Shaft Fifth Metatarsal Fractures

April 12, 2016

In the present report, a new radiographic classification for distal shaft fractures of the fifth metatarsal is presented. The classification system is based on a review of 79 spiral oblique fractures of the distal shaft of the fifth metatarsal.

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