download-images

Nonunion of Fifth Metatarsal Fractures

July 21, 2014

Metatarsal fractures are those most frequently encountered in the foot.

Read the full article →

Recurrent Metatarsalgia

July 21, 2014

Recurrent metatarsalgia has a multifactorial etiology. The analysis of the cause is critical in planning appropriate treatment. Understanding etiology helps understand the mechanism of prevention, which is the best treatment.

Read the full article →

The Recurrent Morton Neuroma: What Now?

July 21, 2014

Interdigital neuromas are a common cause of forefoot pain, and approximately 80% of patients require surgical excision for symptom relief. Although 50% to 85% of patients obtain relief after primary excision, symptoms may recur because of an incorrect diagnosis, inadequate resection, or adherence of pressure on a nerve stump neuroma

Read the full article →

The Treatment of Calcaneal Malunion

July 14, 2014

The surgical treatment of calcaneal malunion is technically very demanding and requires a careful assessment of the exact cause of the problem. A number of different surgeries are available depending on the precise cause of symptoms.

Read the full article →

Pain After Cheilectomy of the First Metatarsophalangeal Joint: Diagnosis and Management

July 14, 2014

Cheilectomy is commonly performed for osteoarthritis of the first metatarsophalangeal joint and generally has a successful outcome and high rate of patient satisfaction over the short to medium term. Despite the relatively good results achieved in most cases, a proportion of patients have ongoing pain after cheilectomy. This article outlines the potential causes of ongoing pain, including progression of osteoarthritis, neuralgic symptoms, and transfer metatarsalgia.

Read the full article →

Iatrogenic Hallux Varus Treatment Algorithm

July 14, 2014

Iatrogenic hallux varus is a relatively rare complication of corrective hallux valgus surgery that has multiple pathologic facets. It requires a comprehensive assessment that focuses on joint flexibility, joint integrity, soft tissue balance, and bony deformity. A step-wise treatment approach is used to address all elements of the deformity

Read the full article →

Recurrent Tarsal Tunnel Syndrome

July 14, 2014

Recurrence of tarsal tunnel syndrome after surgery may be due to inadequate release, lack of understanding or appreciation of the actual anatomy involved, variations in the anatomy of the nerve(s), failure to execute the release properly, bleeding with subsequent scarring, damage to the nerve and branches, persistent hypersensitivity of the nerves, and preexisting intrinsic damage to the nerve. Approaches include more thorough release, use of barrier materials to decrease adherence of the nerve to surrounding tissues to avoid traction neuritis, excisions of neuromas using conduits, and consideration of nerve stimulators and systemic medications to deal with persistent neural pain.

Read the full article →

Role of Demineralized Allograft Subchondral Bone in the Treatment of Shoulder Lesions of the Talus: Clinical Results with Two-Year Follow-up -…

July 11, 2014

Abstract: Cystic osteochondral lesions of the talus present a considerable challenge for foot and ankle surgeons. The purpose of the present study was to evaluate the effect of a medial malleolar osteotomy and implantation of demineralized allograft subchondral bone on pain and function 2 years after surgery. For inclusion, patients demonstrated radiographic evidence of a medial cystic full-thickness osteochondral defect of the talus and previously failed microfracture (N = 12).

Read the full article →

The Midfoot Is Really Deformed After Hindfoot Arthrodesis: How to Salvage?

July 7, 2014

Concomitant hindfoot and midfoot deformity is common. Hindfoot fusion is associated with prolonged recovery and significant disability. Further surgery is often required to obtain a plantigrade foot

Read the full article →

Reoperations after Tarsal Coalition Resection: A Population-based Study – Corrected Proof

July 7, 2014

Abstract: Few studies have evaluated the incidence of subsequent operations after tarsal coalition resection. Using administrative databases, we followed up a cohort of patients who had undergone tarsal coalition resection to determine the rates and possible risk factors for subsequent resection or arthrodesis.

Read the full article →