abstract

Technique Tip: Novel Use of a Targeting Drill Guide for Syndesmotic Screw Placement

February 8, 2016

Ankle fractures are among the most common traumatic injuries encountered by orthopaedic surgeons, but obtaining anatomic syndesmosis fixation can be difficult. Previous authors have described the centroidal axis of the syndesmosis. Our group has developed a novel technique of aligning the tibia and fibula along their anatomic centroidal axis using a targeting guide, which has showed good results in 1 patient at 1-year follow-up

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Technique Tip: The Use of Cannulated Drill as a Tamp to Remove Loose Cannulated Screws

February 8, 2016

Subtalar arthrodesis is considered to be the gold standard surgical solution for end-stage subtalar joint arthrosis. Although subtalar joint fusion rates are high, nonunion has been reported to range from 0% to 43%. Revision subtalar arthrodesis regardless of etiology often requires removal of loose hardware in soft bone.

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A New Look at Tendon Transfers and Soft Tissue Management in Foot and Ankle Reconstruction

January 1, 2016

When presenting the topic of tendon repair and reconstruction of the lower extremity, it is commonplace to immediately focus on the Achilles tendon. While the majority of the research and surgical techniques are centered on the Achilles tendon, this issue of Clinics in Podiatric Medicine and Surgery moves outside of the box and focuses not only on tendon reconstruction but also on the mechanical redistribution of tendon function.

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Review Based on Current Evidence Available

January 1, 2016

We appreciate the comments from other surgeons regarding our systematic review. We cannot specifically address the concerns raised based on the current evidence available on the topic presented. Our review was based solely on the available published literature at the time of the project and not on personal research, experience, or observed outcomes

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Piecrusting to Facilitate Skin Closure

December 7, 2015

Wound dehiscence and infection may arise when the skin around the foot or ankle is closed under tension after a surgical incision or trauma. Two cases where a piecrusting technique, using small transdermal incisions made in the surrounding skin similar to the holes in a pie crust, are presented and a literature review of the technique has been performed.

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A Rare Cause of Lower Extremity Ulcers: Prolidase Deficiency

December 4, 2015

Prolidase deficiency is an autosomal recessive disorder, which is associated with chronic skin ulcers, a characteristic facial appearance, mental retardation, and recurrent infections. This study describes 4 patients with recurrent leg ulcerations and abnormal facies who were first clinically suspected of prolidase deficiency and then biochemically confirmed

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