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Operative Technique

September 1, 2015

Hallux rigidus is the most common arthritic malady to afflict the foot. A host of nonoperative measures can alleviate pain, and with failure of conservative treatment, joint preserving and joint sacrificing procedures can be used to treat persistent symptoms.

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Proximal Phalanx Hemiarthroplasty for the Treatment of Advanced Hallux Rigidus

September 1, 2015

Multiple treatment options exist for the management of late-stage hallux rigidus. The goals of treatment are pain reduction and restoration of function.

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Open, Arthroscopic, and Percutaneous Cheilectomy for Hallux Rigidus

September 1, 2015

Cheilectomy consists of excision of the dorsal exostosis and part of the metatarsal head. It is typically performed for patients in the earlier stages of hallux rigidus presenting with dorsal pain and dorsiflexion stiffness in the absence of through-range symptoms, rest pain, and plantar pain and with negative result on grind test. If joint motion–preserving surgery is appropriate, then cheilectomy is generally considered to be the first-line surgical choice.

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Arthroscopic First Metatarsophalangeal Arthrodesis for Repair of Fixed Hallux Varus Deformity

August 26, 2015

Arthroscopic first metatarsophalangeal arthrodesis for fixed hallux varus deformity can be very difficult because narrowing of the medial joint space results in difficult access. The abductor hallucis tendon and the medial capsule can be released through a small proximal plantar medial incision.

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Restoring Sesamoid Position in Scarf Osteotomy: A Learning Curve

August 25, 2015

Incomplete reduction of the sesamoid is a known risk factor for recurrence of the deformity after scarf osteotomy for correction of hallux valgus. The purpose of the present study was to determine whether a learning curve exists for successfully restoring the sesamoid position in scarf osteotomy. We reviewed 71 consecutive cases (71 feet) of scarf osteotomy performed on female patients during a 2.5-year period by the same surgeon

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Administration of Tranexamic Acid Reduces Postoperative Blood Loss in Calcaneal Fractures: A Randomized Controlled Trial

August 23, 2015

The present randomized controlled trial was undertaken to evaluate the effect of tranexamic acid (TXA) on reducing postoperative blood loss in calcaneal fractures. A total of 90 patients with a unilateral closed calcaneal fracture were randomized to the TXA (n = 45) and control (n = 45) groups. The corresponding groups received 15 mg/kg body weight of TXA or placebo (0.9% sodium chloride solution) intravenously before the skin incision was made.

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Two Articles: Similar, Not the Same

August 23, 2015

Recently, Seth S. Leopold, MD, Editor in Chief of Clinical Orthopaedics and Related Research®, informed me that a reader had brought to his attention that two articles published respectively in The Journal of Foot & Ankle Surgery® and Clinical Orthopaedics and Related Research® were similar (Wu DY

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Surgical Correction of Rigid Equinovarus Contracture Utilizing Extensive Soft Tissue Release

August 20, 2015

Although deforming contractures of the lower extremities after acute cerebrovascular events are well documented in the literature, there is limited literature regarding specific surgical considerations for the correction of these deformities, which are nonosseus in nature.

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