images

Ankle Fusion With a Trabecular Metal Spacer and an Anterior Fusion Plate

December 5, 2014

We present a novel operative technique for ankle joint fusion in a case of severe talar bone loss. Fusion was achieved with a trabecular metal spacer combined with a single anterior, anatomically preshaped, angular, stable plate.

Read the full article →

Are Low-Energy Open Ankle Fractures in the Elderly the New Geriatric Hip Fracture?

December 5, 2014

As the geriatric population in the United States continues to increase, ankle fractures in the elderly are predicted to exponentially increase in the future. As such, these injuries will become a common injury seen by physicians in various fields. Currently, no studies discussing low-energy open ankle fractures in the elderly and/or the mortality rate associated with these devastating injuries have been published.

Read the full article →

Giant Cell Tumor of the Distal Phalanx of the Fourth Toe: A Case Report

December 5, 2014

Giant cell tumor of the bone is a benign, but locally aggressive, primary bone tumor of unknown origin. It most commonly occurs in the long bones and is only rarely found in the phalangeal bones, such as the distal phalanx of the foot

Read the full article →

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.

Read the full article →

Medial Double Arthrodesis With Lateral Column Sparing and Arthrodiastasis: A Radiographic and Medical Record Review

December 2, 2014

Correction of valgus hindfoot deformity can be successfully achieved with arthrodesis of the subtalar and talonavicular joints through a single medial based incision. The advantages of medial double arthrodesis compared with the standard triple arthrodesis 2-incision approach include the absence of a lateral incision and a few degrees of residual mobility through the unfused calcaneocuboid joint (CCJ). The CCJ has often been noted to distract and decompress with the abduction correction achieved through medial double fusion.

Read the full article →

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

Read the full article →

Effects of Right Lower Limb Orthopedic Immobilization on Braking Function: An On-The-Road Experimental Study With Healthy Volunteers

November 27, 2014

Little is known about how immobilization of the right lower limb might affect driving. The purpose of the present study was to evaluate the effect of 2 types of immobilization on the emergency braking time of healthy subjects during actual driving conditions. The emergency braking times of 14 healthy volunteers were assessed in a closed circuit under 3 conditions: wearing running shoes, wearing an Aircast Walker®, or wearing a walking cast on their right lower limb.

Read the full article →

Acute Compartment Syndrome after Gastrocnemius Rupture (Tennis Leg) in a Nonathlete without Trauma

November 27, 2014

Acute compartment syndrome is a serious emergency that warrants urgent decompression, and tennis leg (i.e., rupture of the medial head of the gastrocnemius) is a known clinical condition that is usually treated symptomatically, with good results overall. In rare cases, acute compartment syndrome is associated with tennis leg after severe direct muscle trauma or severe exercise in athletes or physically active individuals.

Read the full article →

A Retrospective Study of 63 Hallux Valgus Corrections Using the Osteodesis Procedure

November 27, 2014

Osteotomy procedures have been the most popular approach to hallux valgus deformity correction. Soft tissue approaches have, in general, been regarded as ineffective for moderate and severe hallux valgus deformities. Osteodesis is a soft tissue technique that has been shown to be effective in the past but is still seldom practiced

Read the full article →

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

Read the full article →