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Fifth Metatarsal Osteotomies

July 1, 2015

A tailor’s bunion or bunionette deformity is a combination of osseous and soft tissue bursitis on the lateral aspect of the fifth metatarsal head. This article discusses 7 corrective measures: medial oblique sliding osteotomy with fixation, medial oblique slide osteotomy–minimal incision procedure without fixation, SERI (simple, effective, rapid, inexpensive) with fixation, chevron with or without fixation, closing, lateral wedge osteotomy at the metatarsal neck or proximal diaphysis, Weil osteotomy, and scarfette.

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Pooling Results by Means of Meta-Analysis

July 1, 2015

In this issue, we present 2 different meta-analyses that aimed to answer the same question, namely, “Is tibiofibular syndesmosis transfixation best performed with metallic or bioabsorbable screw fixation?” Keep in mind that a meta-analysis is a quantitative review that pools data from publications and attempts to define the heterogeneity of the data to be pooled into a larger sample.

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Metatarsus Primus Varus Correction

July 1, 2015

We present a discussion on the use of proximal first-ray osteotomies in the surgical treatment for hallux valgus as a valid option compared with first-tarsometatarsal arthrodesis. Recent and historical literature tells us that stability of the first ray is a function of the alignment and reestablishment of retrograde stabilizing forces at the first tarsometatarsal joint

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Supramalleolar Osteotomy

July 1, 2015

Supramalleolar osteotomies are a surgical treatment option for asymmetric varus or valgus ankle arthritis where at least 50% of the joint surface is spared. Procedure selection requires significant preoperative planning for appropriate execution. Thus, the surgeon must be familiar with the principles of deformity correction.

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Osteotomies for the Management of Charcot Neuroarthropathy of the Foot and Ankle

July 1, 2015

Patients with diabetic neuropathy that develop unstable Charcot neuroarthropathy not only have an autoimmune disease that prolongs the healing process, they also often have an inability to maintain a non–weight bearing status. Charcot neuroarthopathy is often devastating to the structure and stability of the foot and ankle

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Corrective Osteotomies Used in Cavus Reconstruction

July 1, 2015

The authors dedicate this article to describing the clinical work-up and etiology for a cavus foot deformity as well as the surgical decision making for correction.

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Metatarsophalangeal Fusion Techniques with First Metatarsal Bone Loss/Defects

June 13, 2015

First metatarsophalangeal joint disorder is a common cause of chronic forefoot pain that is frequently encountered in the orthopedic clinic. Numerous surgical techniques have been described to improve patient pain and function in this regard, including prosthetic joint replacement, resection arthroplasty, and arthrodesis

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