Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Foot & Ankle 51 articles

Articles

Is Dual Semitendinosus Allograft Stronger Than Turndown for Achilles Tendon Reconstruction? An In Vitro Analysis

Michael C. Aynardi MD, Lara C. Atwater MD, Roshan Melvani MD, Brent G. Parks MD, Adrian G. Paez BS, Stuart D. Miller MD

Large Achilles tendon defects pose a treatment challenge. The standard treatment with a turndown flap requires a large extensile incision, puts the sural nerve at risk, and demands slow, careful rehabilitation. Dual allograft semitendinosus reconstruction is a new clinical alternative that has the theoretical advantages of a smaller incision, less dissection, and a stronger construct that may allow for faster rehabilitation.

Are There Differences in Gait Mechanics in Patients With A Fixed Versus Mobile Bearing Total Ankle Arthroplasty? A Randomized Trial

Robin M. Queen PhD, Christopher T. Franck PhD, Daniel Schmitt PhD, Samuel B. Adams PhD

Total ankle arthroplasty (TAA) is an alternative to arthrodesis, but no randomized trial has examined whether a fixed bearing or mobile bearing implant provides improved gait mechanics.

Can a Three-Component Prosthesis be Used for Conversion of Painful Ankle Arthrodesis to Total Ankle Replacement?

Markus Preis MD, Travis Bailey MD, Lucas S. Marchand MD, Alexej Barg MD

In patients with painful ankle arthrodesis, the surgical treatment is challenging, and may include takedown of ankle arthrodesis and conversion to a total ankle replacement (TAR). This procedure is technically demanding given the altered anatomy after arthrodesis. Few studies have evaluated TAR in the setting of prior arthrodesis.

The 2017 ABJS Nicolas Andry Award: Advancing Personalized Medicine for Clubfoot Through Translational Research

Matthew B. Dobbs MD, Christina A. Gurnett MD, PhD

Clubfoot is one of the most common pediatric orthopaedic disorders. While the Ponseti method has revolutionized clubfoot treatment, it is not effective for all patients. When the Ponseti method does not correct the foot, patients are at risk for lifelong disability and may require more-extensive surgery.

Is Pes Cavus Alignment Associated With Lisfranc Injuries of the Foot?

Jeremy D. Podolnick MD, Daniel S. Donovan MD, Nicholas DeBellis MD, Alejandro Pino MD

Lisfranc (tarsometatarsal joint) injuries are relatively rare, accounting for less than 1% of all fractures, and as many as 20% of subtle Lisfranc injuries are missed at the initial patient presentation. An undiagnosed Lisfranc injury can have devastating consequences to the patient. Therefore, any factor that can raise a clinician’s index of suspicion to make this diagnosis is potentially important. The cavus foot has been associated with various maladies of the lower extremity, but to our knowledge, it has not been reported to be associated with Lisfranc injury.

Hindfoot Arthrodesis with the Blade Plate: Increased Risk of Complications and Nonunion in a Complex Patient Population

Troy M. Gorman MD, Timothy C. Beals MD, Florian Nickisch MD, Charles L. Saltzman MD, Mikayla Lyman BS, Alexej Barg MD

Previous hindfoot surgeries present a unique challenge to hindfoot arthrodesis, as the patients may have multiple incisions around the hindfoot. In high-risk patients with compromised soft tissues, a posterior approach can provide an alternative for a fresh soft tissue plane for the surgery. The use of a blade plate construct is widely accepted; however, there are limited data supporting the use of a posterior approach.

How Do Hindfoot Fusions Affect Ankle Biomechanics: A Cadaver Model

Ian D. Hutchinson MD, Josh R. Baxter PhD, Susannah Gilbert MS, MaCalus V. Hogan MD, Jeff Ling FRCAS, Stuart M. Saunders MD, Hongsheng Wang PhD, John G. Kennedy MD

While successful subtalar joint arthrodesis provides pain relief, resultant alterations in ankle biomechanics need to be considered, as this procedure may predispose the remaining hindfoot and tibiotalar joint to accelerated degenerative changes. However, the biomechanical consequences of isolated subtalar joint arthrodesis and additive fusions of the Chopart’s joints on tibiotalar joint biomechanics remain poorly understood.

Classifications in Brief: Johnson and Strom Classification of Adult-acquired Flatfoot Deformity

Mostafa M. Abousayed MD, Jason P. Tartaglione MD, Andrew J. Rosenbaum MD, John A. Dipreta MD

Does Strict Adherence to the Ponseti Method Improve Isolated Clubfoot Treatment Outcomes? A Two-institution Review

Nancy H. Miller MD, Patrick M. Carry BA, Bryan J. Mark BA, Glenn H. Engelman BA, Gaia Georgopoulos MD, Sue Graham PA-C, Matthew B. Dobbs MD

Despite being recognized as the gold standard in isolated clubfoot treatment, the Ponseti casting method has yielded variable results. Few studies have directly compared common predictors of treatment failure between institutions with high versus low failure rates.

Does Open Reduction and Internal Fixation versus Primary Arthrodesis Improve Patient Outcomes for Lisfranc Trauma? A Systematic Review and Meta-analysis

Nicholas Smith MD, MSc, Craig Stone MD, MSc, FRCSC, Andrew Furey MD, MSc, FRCSC

Although Lisfranc injuries are uncommon, representing approximately 0.2% of all fractures, they are complex and can result in persistent pain, degenerative arthritis, and loss of function. Both open reduction and internal fixation (ORIF) and primary fusion have been proposed as treatment options for these injuries, but debate remains as to which approach is better.