Journal of Foot and Ankle Surgery




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Cover 1 -- cover prints black and PMS 261

doi : 10.1053/S1067-2516(22)00274-5

Volume 61, Issue 6, November–December 2022, Page CO1

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Subscription Information

doi : 10.1053/S1067-2516(22)00276-9

Volume 61, Issue 6, November–December 2022, Page A2

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Editorial Board

doi : 10.1053/S1067-2516(22)00277-0

Volume 61, Issue 6, November–December 2022, Page A4

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Table of Contents

doi : 10.1053/S1067-2516(22)00278-2

Volume 61, Issue 6, November–December 2022, Pages A7-A12

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Iatrogenic Damage to Neurovascular and Soft Tissue Structures During Lateral Release of Hallux Valgus: A Comparative Anatomical Study of Minimally Invasive Versus Open Surgical Techniques

Kajetan Klos, MD, DSc 1,2 , Mark Lenz, MD, DSc 1 , Gunther O. Hofmann, MD, DSc, PhD1,3 , Wiebke Schubert, MD4 , Matthias Knobe, MD, DSc 5 , Klaus Edgar Roth, MD, DSc 2 , Paul Simons, MD 2 , Matthias Aurich, MD, DSc

doi : 10.1053/j.jfas.2021.07.015

Volume 61, Issue 6, November–December 2022, Pages 1139-1144

Lateral release is often an integral step in surgical correction of hallux valgus and can be performed using open or minimally invasive techniques. We investigated whether these techniques cause iatrogenic damage to arteries, nerves, tendons, or joint capsules.

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Longitudinal Plantar Approach for Excision of Morton's Neuroma: Long-Term Results

Francesco Soldati, MD, Kaj Klaue, MD, PD

doi : 10.1053/j.jfas.2021.10.010

Volume 61, Issue 6, November–December 2022, Pages 1145-1151

Longitudinal plantar approaches are generally considered at risk for wound healing problems.

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Perioperative Opioid Analgesics and Hallux Valgus Correction Surgery: Trends, Risk Factors for Prolonged Use and Complications

Victor J. Anciano Granadillo, MD 1 , Brian C. Werner, MD2 , Thomas E. Moran, BS 3 , Joseph S. Park, MD2 , Minton T. Cooper, MD

doi : 10.1053/j.jfas.2021.10.011

Volume 61, Issue 6, November–December 2022, Pages 1152-1157

In the setting of an opioid epidemic, this study aims to provide evidence on opioid use trends, risk factors for prolonged use, and complications from perioperative opioid consumption in hallux valgus surgery.

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Normal Distal Excursion of the Peroneus Brevis Myotendinous Junction

Sara Mateen, DPM 1,# , Sayed Ali, MD, FACR 2,# , Andrew J. Meyr, DPM, FACFAS

doi : 10.1053/j.jfas.2021.10.013

Volume 61, Issue 6, November–December 2022, Pages 1158-1160

A low-lying peroneus brevis muscle belly has been described as a risk factor for the development of peroneal tendon pathology, but this finding has primarily been described based on cohorts with pre-existing clinical findings.

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Postoperative Angular Changes According to Weightbearing in Patients With Moderate to Severe Hallux Valgus

Dong-Kyo Seo, MD, PhD 1 , Hyun Wook Kang, MD 1 , Jin Kyung Kim, MD1 , Jae-Seok Song, MD, PhD

doi : 10.1053/j.jfas.2021.10.016

Volume 61, Issue 6, November–December 2022, Pages 1161-1164

Hallux valgus is a progressive angular deformity of the big toe, the degree of which is aggravated in weightbearing stance. Hallux valgus and intermetatarsal angles on postoperative weightbearing images are usually larger than those of intraoperative fluoroscopic and immediate postoperative non-weightbearing images.

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Peripheral Nerve Blocks Associated With Shorter Length of Stay Without Increasing Readmission Rate for Ankle Open Reduction Internal Fixation in the Outpatient Setting: A Propensity-Matched Analysis

Aneesh V. Samineni, BA 1 , Thomas Seaver, MD 2 , David C. Sing, MD 2 , Seroos Salavati, MD 3 , Paul Tornetta, III MD

doi : 10.1053/j.jfas.2021.10.017

Volume 61, Issue 6, November–December 2022, Pages 1165-1169

Peripheral nerve blocks (PNB) have become an important modality for pain management in ankle fracture surgery. Previous studies have reported their efficacy, but concerns with rebound pain and readmissions have been cited as possible deterrents.

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Postoperative Complications of Minimally Invasive Intramedullary Nail Fixation Versus Plate Fixation for Distal Fibular Fractures in Elderly Patients: A Retrospective Double Cohort Study in a Geriatric Trauma Unit in the Netherlands

David B. Tas, MD 1,2 , Diederik P.J. Smeeing, MD, PhD1 , Jort Keizer, MD 1 , Roderick M. Houwert, MD, PhD2,3 , Benjamin L. Emmink, MD, PhD

doi : 10.1053/j.jfas.2021.10.019

Volume 61, Issue 6, November–December 2022, Pages 1170-1176

Intramedullary fixation using a fibular nail is a minimally invasive alternative to conventional plate fixation that provides superior biomechanical strength and allows immediate full weightbearing postoperatively.

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Open Evaluation of the Peroneal Tendons Should Be Considered in Patients With Chronic Lateral Ankle Instability Undergoing Ankle Arthroscopy With Lateral Ankle Stabilization

Benjamin L. Clair, DPM, FACFAS 1 , Michelle L. Winder, DPM, AACFAS 2 , Elizabeth F. Neubauer, DPM, AACFAS

doi : 10.1053/j.jfas.2021.10.020

Volume 61, Issue 6, November–December 2022, Pages 1177-1181

Peroneal tendon pathology is commonly associated with chronic lateral ankle instability. Foot and ankle surgeons often rely on preoperative magnetic resonance imaging (MRI) for identification of related pathology and surgical planning in these patients.

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A Qualitative Study of the Functional Outcomes Following First Metatarsophalangeal Joint (MTPJ) Arthrodesis Based on a Procedure Focused Questionnaire

Sheweidin Aziz, MBBS (Hons), FRCS (Tr & Orth) (Eng), Annette Jones, BSc (Hons), PG Cert, Maneesh Bhatia, MBBS, MS (Orth), FRCS (Tr & Orth)

doi : 10.1053/j.jfas.2021.01.013

Volume 61, Issue 6, November–December 2022, Pages 1182-1186

Hallux rigidus is the second most common condition to affect the first ray with an incidence of 2.5% in those above 50 years. Metatarsophalangeal Joint (MTPJ) arthrodesis remains the standard surgery.

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The Effect of Remnant Metatarsal Parabola Structure on Transmetatarsal Amputation Primary Healing and Durability

Patrick M. Bik, DPM1,# , Kate Heineman, DPM 1,# , Jennifer Levi, DPM1 , Laura E. Sansosti, DPM, FACFAS 2 , Andrew J. Meyr, DPM, FACFAS

doi : 10.1053/j.jfas.2021.10.035

Volume 61, Issue 6, November–December 2022, Pages 1187-1190

Although generally considered to be both a durable and functional procedure for limb preservation, the transmetatarsal amputation (TMA) has high rates of complication, failure, revisional operation, and progression to more proximal amputation.

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A Comparison of Trans-Articular Screw Versus Dorsal Bridge Plate Versus Compression Locking Plate Fixation in B2 Lis Franc Injuries: A 5-Year Experience in a Level 1 Trauma Center, in the United Kingdom

Varun Kommalapti, MRCS 1 , Caesar Wek, FRCS (Tr & Orth) 1 , Duncan Coffey, MRCS 2 , Tim Hardwick, FRCS (Tr & Orth) 3 , Ines Reichert, FRCS (Tr & Orth), PhD, MD 4 , Raju Ahluwalia, (Tr & Orth)

doi : 10.1053/j.jfas.2021.11.004

Volume 61, Issue 6, November–December 2022, Pages 1191-1196

This retrospective case series aimed to identify whether trans-articular screws, dorsal bridging plates or if a 4-corner compression plate offers better functional outcome after B2 Lis Franc injuries.

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3D Mapping of the Lateral Malleolus Fractures for Predicting Syndesmotic Injuries in Supination External Rotation Type Ankle Fractures

Mu-Min Cao, MD1,2,3,4 , Yuan-Wei Zhang, PhD1,2,3,4 , Sheng-Ye Hu, MD 1,2,3,4 , Guang-Chun Dai, PhD1,2,3,4 , Pan-Pan Lu, PhD 1,2,3,4 , Tian Xie, MD1,2,3,4 , Chen Wang, MD 1,2,3,4 , Hui Chen, MD 1,2,3,4 , Yun-Feng Rui, PhD

doi : 10.1053/j.jfas.2022.01.026

Volume 61, Issue 6, November–December 2022, Pages 1197-1202

Supination external rotation (SER) type ankle fracture is the most common ankle fracture in the Lauge-Hansen classification and is often accompanied with syndesmotic injury.

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Plantar Plating in the Modified Lapidus Procedure: Evaluation of Function and Impairment of the Tibialis Anterior Tendon

Richard Niehaus, MD1 , Sandro Hodel, MD 1 , Karim Eid, MD 1 , Susanne Bensler, MD 2 , Christopher G. Lenz, MD

doi : 10.1053/j.jfas.2022.02.003

Volume 61, Issue 6, November–December 2022, Pages 1203-1208

The modified “Lapidus� procedure (MLP) describes the arthrodesis of the first tarsometatarsal joint. We investigate if there are detectable changes of the tendon or the function of the muscle and clinical outcome after MLP.

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Correction of a Complex Foot Deformity With V and Y Osteotomy and Ilizarov Method

A. Kirienko, MD 1 , L. Gradov, MD2 , E. Malagoli, MD1 , F. Tacci, MD3 , G. Lucchesi, MD

doi : 10.1053/j.jfas.2022.02.005

Volume 61, Issue 6, November–December 2022, Pages 1209-1220

Many authors consider the Ilizarov method as the best choice for correction of complex multiplanar foot deformities.

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Ten-Year Single Center Retrospective Analysis of Adult Native Ankle Joint Septic Arthritis

Brittany Davis-Havill, BHSc a , Kenan R. Burrows, BSc, MBChB, PGDipSurgAnat b , Joseph F. Baker, MCh, FRCSI

doi : 10.1053/j.jfas.2022.02.006

Volume 61, Issue 6, November–December 2022, Pages 1221-1226

Septic arthritis (SA) of the native ankle joint can result in serious morbidity and mortality but is a poorly quantified issue with little literature available on its clinical features, treatment and outcomes.

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Impact of Nares Swabs in the Operative Management of Distal Lower Extremity Infections

Ramez Sakkab, DPM1 , Tyler M. MacRae, DPM 1 , Samantha R. Spierling Bagsic, PhD, MSE2 , Gonzalo Ballon-Landa, MD

doi : 10.1053/j.jfas.2022.02.007

Volume 61, Issue 6, November–December 2022, Pages 1227-1229

Associations between nares surveillance cultures and lower extremity wound cultures remains a topic of discussion in the literature and in clinical practice. Reports are limited due to the questionable accuracy of bedside foot cultures.

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Variations in the Thickness of the Plantar Fascia After Training Based in Training Race. A Pilot Study

Raquel Alabau-Dasi, MsC 1 , Pilar Nieto-Gil, PhD2 , Ana Belen Ortega-Avila, PhD3,4 , Gabriel Gijon-Nogueron, PhD

doi : 10.1053/j.jfas.2022.02.008

Volume 61, Issue 6, November–December 2022, Pages 1230-1234

Plantar fascia (PF) is a connective tissue made up of mostly type 1 collagen that is subjected to constant loads. This study evaluated the effect of continuous running on tissue stress in the PF by measuring changes in the thickness of the PF using ultrasound scans.

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Arthroscopic Findings in Refractory Symptomatic Fourth and Fifth Tarsometatarsal Joints

George T. Liu, DPM, FACFAS a , Michael D. Vanpelt, DPM, FACFAS a , Kshitij Manchanda, MDb , Matthew J. Johnson, DPMb , Katherine M. Raspovic, DPM, FACFAS a , Dane K. Wukich, MD c , Trapper Lalli, MD d

doi : 10.1053/j.jfas.2022.02.009

Volume 61, Issue 6, November–December 2022, Pages 1235-1239

Refractory pain to the fourth and fifth tarsometatarsal (TMT) joint can be a source of disability and functional impairment.

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Ankle Mortise Instability in Multiple Hereditary Exostoses

M. Pierce Ebaugh, DO 1 , Gregory Grenier, DO 2 , Satbir Singh, MS 3 , Oussama Abousamra, MD 4 , Kevin Klingele, MD

doi : 10.1053/j.jfas.2022.02.010

Volume 61, Issue 6, November–December 2022, Pages 1240-1245

Ankle valgus is commonly reported in patients with multiple hereditary exostoses (MHE). We report the characteristics of mortise widening in MHE, its progression over time, and the resultant ankle pain and function at skeletal maturity.

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The Top 100 Cited Articles on Plantar Fasciitis: A Bibliometric Analysis

Kaylem M. Feeney, BSc (Hons), MSc

doi : 10.1053/j.jfas.2022.02.012

Volume 61, Issue 6, November–December 2022, Pages 1246-1250

Plantar fasciitis is a common musculoskeletal complaint seen in clinical practice. The objective of this study was to perform a bibliometric analysis of the top 100 articles published on the topic of plantar fasciitis.

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Does the Lauge-Hansen Injury Mechanism Predict Posterior Malleolar Fracture Morphology?

Blayne K. Patton, DPM1 , Noah J. Orfield, PhD1 , John R. Clements, DPM

doi : 10.1053/j.jfas.2022.02.013

Volume 61, Issue 6, November–December 2022, Pages 1251-1254

The Lauge-Hansen ankle fracture classification system is widely accepted and is utilized to describe and predict ankle fracture patterns based on the mechanism of injury.

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First Tarsometatarsal Joint Arthrodesis for Hallux Valgus With and Without Intermetatarsal Screw Fixation: A Comparison of Correction and Maintenance of Correction

Jacob M. Jones, DPM 1 , Scott D. Schleunes, DPM 2 , Vincent G. Vacketta, DPM1 , Frances Hite Philp, MS 3 , Matthew J. Hentges, DPM, FACFAS 4 , Ryan L. McMillen, DPM, FACFAS 4 , Karl R. Saltrick, DPM, FACFAS 5 , Alan R. Catanzariti, DPM, FACFAS

doi : 10.1053/j.jfas.2022.02.014

Volume 61, Issue 6, November–December 2022, Pages 1255-1262

Tarsometatarsal joint arthrodesis is a commonly accepted procedure for hallux valgus associated with severe deformity and first ray hypermobility or medial column instability.

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Return to Sports Activities After Flexor Hallucis Longus Transfer for Neglected Achilles Tendon Rupture

Jungtae Ahn, MD, PhD, Bi O. Jeong, MD, PhD

doi : 10.1053/j.jfas.2022.02.015

Volume 61, Issue 6, November–December 2022, Pages 1263-1266

Transfer of the flexor hallucis longus (FHL) is known to be effective in the treatment of neglected Achilles tendon rupture (ATR). However, evidence on the return to sports activity levels and clinical outcomes is not sufficient.

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Evaluation of Functional Outcome and Complications in Bridge Plating Compared to Transarticular Screws for Lisfranc Injuries: A Systematic Review and Meta-analysis

Esmee Wilhelmina Maria Engelmann, MD, MSc, Anne Roelofs, MD, Jelle Posthuma, MD, PhD, Tim Schepers, MD, PhD

doi : 10.1053/j.jfas.2022.03.002

Volume 61, Issue 6, November–December 2022, Pages 1267-1274

The optimal treatment strategy of Lisfranc injury is still in debate. This study aimed to compare the functional outcome and complications of dorsal bridge plating (BP) and transarticular screws (TAS). A systematic review and meta-analysis of the present literature was performed.

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Thirty-Day Morbidity and Mortality in Patients With COPD Following Open Reduction and Internal Fixation for Rotational Ankle Fractures

Puneet Gupta, BS1 , Theodore Quan, BS 1 , Magid G. Abdo, BS 2 , Joseph E. Manzi, BS3 , Brock Knapp, MD 1 , Gene Shaffer, MD

doi : 10.1053/j.jfas.2022.03.015

Volume 61, Issue 6, November–December 2022, Pages 1275-1279

Prior orthopedic literature has found patients with chronic obstructive pulmonary disease (COPD) to be at an increased risk for postoperative morbidity and mortality.

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Clinical Outcomes of Supramalleolar Osteotomy in Intermediate Stage of Varus Ankle Osteoarthritis in Joint Preservation

Jungtae Ahn, MD, PhD, Hyuck Sung Son, MD, Bi O Jeong, MD, PhD

doi : 10.1053/j.jfas.2022.04.002

Volume 61, Issue 6, November–December 2022, Pages 1280-1286

Supramalleolar osteotomy (SMO) is an effective treatment for intermediate-stage varus ankle osteoarthritis (OA).

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Preoperative Computed Tomography in Guiding the Length of Cannulated Screws in Medial Malleolar Fractures

Pengcheng Liu, MD 1 , Chen Xu, MD 1 , Zhaoxun Chen, MD 1 , Joanna Xi Xiao, MD 1 , Chen Zhao, MD 1 , Fei Yang, MD, PhD 1 , Jiang Li, MD2 , Xiaoqing Wang, MD, PhD

doi : 10.1053/j.jfas.2022.04.003

Volume 61, Issue 6, November–December 2022, Pages 1287-1292

Excessive lengths of partially threaded cannulated screws in medial malleolus fractures are often related to failure of fixation.

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Radiographic Analysis of the Lateral Column Lengthening Procedure in Stage II Adult Acquired Flatfoot Deformity

Scott D. Schleunes, DPM1 , Stephanie N. Campbell, DPM2 , Jacob M. Jones, DPM3 , Frances Hite Philp, MS 4 , Alan R. Catanzariti, DPM, FACFAS

doi : 10.1053/j.jfas.2022.04.005

Volume 61, Issue 6, November–December 2022, Pages 1293-1298

Adult acquired flat foot deformity (AAFD) is a progressive, tri-planar deformity involving collapse of the medial longitudinal arch, valgus deformity of the rear foot, and abduction of the mid-foot on the rear foot.

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Anatomical Factors Which Influence the Formation of Peroneal Tendon Tears: A Retrospective Comparative Study

Tacettin Ayanoglu, MD 1 , Emre Arikan, MD 2 , Mahmut Kurtbogan, MD 1 , Omer Faruk Yilmaz, MD 1 , Yasin Emre Kaya, MD 1 , Kutay Engin Ozturan, MD

doi : 10.1053/j.jfas.2022.04.006

Volume 61, Issue 6, November–December 2022, Pages 1299-1302

This study aims to investigate the anatomical factors that are effective in the formation of peroneal tendon tears comparing with the control group. The patients with ankle magnetic resonance imaging (MRI) due to pain on the lateral side of the ankle were retrospectively analyzed using the clinical archive between July 2015 and January 2020.

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Clinical Outcomes for Pilon Variant Posterior Malleolar Fractures: A Multicenter Retrospective Analysis

Alexandra T. Black, DPM, AACFAS 1 , Jered M. Stowers, DPM, AACFAS2 , Son Tran, DPM 3 , Karla De La Mata, DPM4 , Alain E. Sherman, MBA5 , Ali RahnamaVaghef, DPM, AACFAS

doi : 10.1053/j.jfas.2022.04.007

Volume 61, Issue 6, November–December 2022, Pages 1303-1307

Currently, there is no consensus on surgical approach for posterior malleolar fracture fragments with significant posteromedial involvement.

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One- and Two-Year Analysis of a Five-Year Prospective Multicenter Study Assessing Radiographic and Patient-Reported Outcomes Following Triplanar First Tarsometatarsal Arthrodesis With Early Weightbearing for Symptomatic Hallux Valgus

George T. Liu, DPM, FACFAS 1 , Avneesh Chhabra, MD, MBA2 , Mindi J. Dayton, DPM, MHA, FACFAS 3 , Paul D. Dayton, DPM, MS, FACFAS 3 , William J. Duke, DPM, FACFAS 4 , Daniel C. Farber, MD 5 , Daniel J. Hatch, DPM, FACFAS 6 , Deidre A. Kile, MS7 , Jennifer Koay, MD8 , Jody P. McAleer, DPM, FACFAS 4 , Abdi Raissi, MD 9 , Katherine M. Raspovic, DPM, FACFAS 1 , Robert D. Santrock, MD 10 , Robert P. Taylor, DPM, FACFAS 11 , Michael D. VanPelt, DPM, FACFAS 1 , Dane K. Wukich, MD

doi : 10.1053/j.jfas.2022.04.008

Volume 61, Issue 6, November–December 2022, Pages 1308-1316

We report one- and 2-year results of a prospective, 5-year, multicenter study of radiographic, clinical, and patient-reported outcomes following triplanar first tarsometatarsal arthrodesis with early weightbearing.

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Incidence of Scholarly Publication by Selected Content Experts Presenting at National Society Foot and Ankle Meetings From 2016 to 2020

Christopher F. Hyer, DPM, MS, FACFAS 1 , Dominick J. Casciato, DPM2 , Calvin J. Rushing, DPM, AACFAS3 , John M. Schuberth, DPM, FACFAS

doi : 10.1053/j.jfas.2022.04.011

Volume 61, Issue 6, November–December 2022, Pages 1317-1320

Continuing medical education (CME) is an important element to maintain licensing requirements, enhance professional competence, and disseminate up to date, evidence-based, treatment recommendations.

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Predictors of Patient Satisfaction in Hallux Valgus Surgery

Harish Thiyagarajan, MBBS 1 , Merrill Lee, MBBS, MRCS (Edin) 2 , Jerry Chen, MBBS, MRCS (Edin), MMed (Ortho), FRCS (Ortho) 2,3 , Nicholas Yeo Eng Meng, MBBS, MRCS (Edin), MMed (Ortho), FRCS (Ortho), FAMS

doi : 10.1053/j.jfas.2022.04.013

Volume 61, Issue 6, November–December 2022, Pages 1321-1324

This study aims to analyze a combination of preoperative biodata, radiological parameters, and validated functional scores to determine predictors for patient satisfaction in patients who have undergone Hallux abducto valgus (HAV) surgery at 2 years postoperatively.

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Tibio-Talar-Calcaneal Nail Fixation for Ankle Fractures: A Systematic Review and Meta-Analysis

Yong Yao Tan, BMedSc, MD1 , Mithun Nambiar, MBBS, BMedSc 2 , James Randolph Onggo, MBBS (Hons) 3 , Benjamin A. Hickey, BM, MRCS, MSc, FRCS (Tr&Orth), MD4 , Sina Babazadeh, MBBS, PhD, DipSurgAnat, GCALL, FAOrthA, FRACS 5 , Wei Han Tay, MBBS, BSc, MS, FRACS6 , Janet Hsuan, BSc(Hons), BMed Sci, MBBS, FRACS7 , Harvinder Bedi, MBBS, MPH, FRACS

doi : 10.1053/j.jfas.2021.10.006

Volume 61, Issue 6, November–December 2022, Pages 1325-1333

Unstable ankle fractures are traditionally treated with open reduction and internal fixation. An alternative surgical option is primary tibio-talar-calcaneal fusion.

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A Systematic Review of Intramedullary Fixation in Midfoot Charcot Neuroarthropathy

Dane K. Wukich, MD 1 , George T. Liu, DPM2 , Matthew J. Johnson, DPM1 , Michael D. Van Pelt, DPM 2 , Katherine M. Raspovic, DPM1 , Trapper Lalli, MD1 , Paul Nakonezny, PhD

doi : 10.1053/j.jfas.2022.04.009

Volume 61, Issue 6, November–December 2022, Pages 1334-1340

Charcot neuroarthropathy can cause severe deformity of the midfoot, and intramedullary use of beams and bolts has been utilized as a method of definitive stabilization.

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An Umbrella Systematic Review and Meta-Analysis of Systematic Reviews on the Topic of Foot and Ankle Arthrodesis Nonunion Rates

Tyler L. Coye, DPM, Nathan Tirabassi, DPM, Courtney M. Foote, DPM, Benjamin Heddy, DPM

doi : 10.1053/j.jfas.2022.04.012

Volume 61, Issue 6, November–December 2022, Pages 1341-1347

The purpose of this systematic review and meta-analysis was to appraise and combine the available systematic reviews reporting nonunion incidence and prevalence in foot and ankle arthrodesis procedures.

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Complications in the Management of Displaced Intra-articular Calcaneal Fractures: A Systematic Review and Network Meta-Analysis of 2538 Patients

Lu Zhang, PhD2,3,! , Peng Su, MD 1 , Jing Li, BS

doi : 10.1053/j.jfas.2022.07.001

Volume 61, Issue 6, November–December 2022, Pages 1348-1356

The purpose of this study was to compare the complication risk of different treatments for displaced intra-articular calcaneal fractures (DIACFs).

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The Pregnant Patient – Why Do My Feet Hurt?

Arianna L. Gianakos, DO 1,2 , Adam Abdelmoneim, MBBCh 3 , Gino M. Kerkhoffs, MD, PhD, FRCS 2,4,5 , Christopher W. DiGiovanni, MD

doi : 10.1053/j.jfas.2022.04.004

Volume 61, Issue 6, November–December 2022, Pages 1357-1361

Although hormonal and anatomical changes that occur during pregnancy have been well documented, how these changes affect foot and ankle function are less understood.

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