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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).

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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.

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Dynamic Positional Deformity of the Hallux – Corrected Proof

July 4, 2014

Abstract: The present study reports a case with concomitant tethering of the flexor tendon and extensor tendon of the hallux after closed tibiofibular shaft fractures. We have obtained good clinical results using tenotomy of the flexor hallucis longus tendon and Z-plasty lengthening of the extensor hallucis longus tendon. Because few studies have described the clinical results and operative methods for this type of combined deformity, we report a case with dynamic positional deformity of the hallux.

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Medial Column Arthrodesis Using an Anatomic Distal Fibular Locking Plate – Corrected Proof

July 4, 2014

Abstract: The medial column fusion is performed for a multitude of etiologies, including peritalar subluxation deformity, Charcot arthropathy, trauma, post-traumatic degenerative joint disease, and rheumatoid arthritis. Various surgical techniques have been described for medial column arthrodesis. We describe a new fixation method using an anatomic distal fibular locking plate for medial column arthrodesis

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Forefoot Supinatus

July 1, 2014

The supination of the forefoot that develops with adult acquired flatfoot is defined as forefoot supinatus. This deformity is an acquired soft tissue adaptation in which the forefoot is inverted on the rearfoot

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Triple Arthrodesis for Adult Acquired Flatfoot

July 1, 2014

The primary goal of triple arthrodesis for stage III and IV adult acquired flatfoot is to obtain a well-aligned plantigrade foot that will support the ankle in optimal alignment. Ancillary procedures including posterior muscle group lengthening, medial displacement calcaneal osteotomy, medial column stabilization, peroneus brevis tenotomy, or transfer and harvest of regional bone graft are often necessary to achieve adequate realignment. Image intensification is helpful in confirming optimal realignment before fixation.

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Double Arthrodesis Through a Medial Approach for End-Stage Adult-Acquired Flatfoot

July 1, 2014

Triple arthrodesis has traditionally been the procedure of choice for end-stage adult-acquired flatfoot. The results have been universally good, and it has proven to be dependable and predictable

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Effects of the Lapidus Arthrodesis and Chevron Bunionectomy on Plantar Forefoot Pressures

July 1, 2014

Abstract: Hallux valgus with or without first ray insufficiency has been strongly implicated as a contributing factor in lesser metatarsal overload. The principle goals of a bunionectomy are to relieve the pain, correct the deformity, and restore first metatarsophalangeal joint congruity.

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Addressing Stage II Posterior Tibial Tendon Dysfunction: Biomechanically Repairing the Osseous Structures Without the Need of Performing the Flexor…

July 1, 2014

The clinical presentation of adult flatfoot can range from a flexible deformity with normal joint integrity to a rigid, arthritic flat foot. Debate still exists regarding the surgical management of stage II deformities, especially in the presence of medial column instability. This article reviews and discusses various surgical options for the correction of stage II flatfoot reconstructive procedures

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Technique Using Interference Fixation Repair for Plantar Plate Ligament Disruption of Lesser Metatarsophalangeal Joints – Corrected Proof

June 27, 2014

Abstract: Lesser metatarsophalangeal joint instability is a challenging disorder for the foot and ankle surgeon to repair.

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