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Show Me the Evidence

January 1, 2016

In this issue, we once again present letters from readers, along with the authors’ reply. The sentiments and concerns raised by Drs.

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Syndesmosis Practitioner Satisfied With One Technique for All His Hallux Valgus Deformity Corrections for 25 Years

January 1, 2016

I would like to congratulate Paul Dayton et al for their research effort in writing the review article “Complications of Metatarsal Suture Techniques for Bunion Correction” (Dayton P, Sedberry S, Feilmeier M. J Foot Ankle Surg 54:230–232, 2014) although it was a one-sided review of only complications of a surgical technique that its authors had no experience with whatsoever

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The Herd Mentality: Strength in Numbers, and Combining Studies

January 1, 2016

Although clinicians may have the best of intentions in terms of keeping up with the medical literature, the overwhelming volume of published studies and the press of clinical responsibilities can make this difficult. A medical version of the Reader’s Digest© would thus be a valuable asset.

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Selection and Publication Bias Color Interpretation

November 1, 2015

I would like to thank Drs. Mann and Palanca for their comments regarding the Scandinavian Total Ankle Replacement Prosthesis (STAR™, Stryker, Inc., Mahwah, NJ). Unfortunately, the works they cite are contaminated by both selection (inventor–design team) and publication (conflict of interest) bias.

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Clarification of the History and Use of the STAR Prosthesis™

November 1, 2015

We recently read the article entitled “Registry Data Trends of Total Ankle Replacement Use,” by Drs.

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The Importance of Biomechanics

November 1, 2015

Guido A. LaPorta’s well-written Commentary “Wither Biomechanics” (J Foot Ankle Surg 54:1, 2015) resonates with me and underscores a concern within our profession that we dare not ignore. I first became acquainted with Dr

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Surgical Treatment of Calcaneal Avulsion Fracture in Elderly Patients Using Cannulated Cancellous Screws and Titanium Wire

October 2, 2015

Avulsion fractures of the calcaneus are relatively uncommon and are seen most frequently in elderly or osteoporotic patients.

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Minimally Invasive Approach to Achilles Tendon Pathology

September 15, 2015

Many surgical procedures have been described for Achilles tendon pathology; however, no overwhelming consensus has been reached for surgical treatment. Open repair using a central or paramedian incision allows excellent visualization for end-to-end anastomosis in the case of a complete rupture and detachment and reattachment for insertional pathologies. Postoperative wound dehiscence and infection in the Achilles tendon have considerable deleterious effects on overall functional recovery and outcome and sometimes require plastic surgery techniques to achieve coverage.

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Effect of Retrograde Reaming for Tibiotalocalcaneal Arthrodesis on Subtalar Joint Destruction: A Cadaveric Study

September 11, 2015

Recent published data have suggested successful union of subtalar and tibiotalar joints without formal debridement during tibiotalocalcaneal (TTC) fusion procedures. Although previous studies have reported on the importance of the proper guidewire starting point and trajectory to obtain appropriate hindfoot alignment for successful fusion, to our knowledge, no studies have quantified the amount of articular damage to the subtalar joint with retrograde reaming

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Talar Fractures in Children: A Possible Injury After Go-Karting Accidents

September 10, 2015

Go-karting is an increasingly popular high-energy sport enjoyed by both children and adults. Because of the speeds involved, accidents involving go-karts can lead to serious injury. We describe 6 talar fractures in 4 patients that resulted from go-karting accidents

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