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Forefoot Surgery in Elderly Compared With Younger Patient Populations: Complications and Type of Procedure

December 2, 2014

In forefoot surgery, the presenting complaints and expected benefits differ between elderly and younger patients. The present study mapped forefoot procedures recommended to elderly patients compared with those recommended to the general population and assessed the complications according to age group and comorbidity

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Chronic Achilles Tendon Rupture Reconstructed With Achilles Tendon Allograft and Xenograft Combination

December 2, 2014

More than 20% of acute Achilles tendon injuries are misdiagnosed, leading to chronic or neglected ruptures. Some controversy exists regarding how to best manage an acute Achilles tendon rupture. However, a general consensus has been reached that chronic rupture with ≥3 cm of separation is associated with functional morbidity and, therefore, should be managed operatively.

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Early Results of a Posterolateral Polyaxial Angle-Stable Plate for Tibiotalocalcaneal Arthrodesis

November 27, 2014

Tibiotalocalcaneal arthrodesis is still considered the reference standard therapy for salvage of severe osteoarthritic deformities of the ankle and hindfoot. Because of the unique anatomy and biomechanics of the ankle, even minor injuries can progress to end-stage osteoarthritis over time

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Diagnostic Accuracy of Clinical Tests for Morton’s Neuroma Compared with Ultrasonography

November 26, 2014

The aim of the present study was to assess the diagnostic accuracy of 7 clinical tests for Morton’s neuroma (MN) compared with ultrasonography (US). Forty patients (54 feet) were diagnosed with MN using predetermined clinical criteria. These patients were subsequently referred for US, which was performed by a single, experienced musculoskeletal radiologist

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Hindfoot Deformity Corrected With Double Versus Triple Arthrodesis: Radiographic Comparison

November 26, 2014

Hindfoot fusion is capable of correcting hindfoot deformities. Typically, this has been done through triple arthrodesis. Recently, there has been some discussion of a double arthrodesis, sparing the calcaneocuboid joint

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Limb Salvage in Secondary Chondrosarcoma of the Metatarsus

November 22, 2014

Malignant transformation of metatarsal osteochondroma into chondrosarcoma is a rare entity. The most optimal line of treatment, salvage procedure or amputation, continues to be debated.

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Comparison of Wedge Resection (Winograd Procedure) and Wedge Resection Plus Complete Nail Plate Avulsion in the Treatment of Ingrown Toenails

November 22, 2014

The present retrospective study compared the efficacy of wedge resection (Winograd procedure) and wedge resection plus complete nail plate avulsion for the treatment of ingrown toenails (onychocryptosis).

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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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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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