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Foot & Ankle International Commentary
Charles L. Saltzman, MD
doi : 10.1177/10711007231159496
Volume 44 Issue 4, April 2023
Outcomes of Salvage Procedures for Failed Total Ankle Arthroplasty
Kathrin Pfahl, MD1 , Anke Röser, MD1 , Julia Eder, MD2 , Oliver Gottschalk, MD1,3 , Hubert Hörterer, MD1,3 , Alexander Mehlhorn, MD1 , and Markus Walther, MD
doi : 10.1177/10711007231156426
The number of total ankle arthroplasty (TAA) procedures increased rapidly in the last years and so have its complications. The main pillars in treating failed TAA are revision total ankle arthroplasty (RTAA), revision total ankle arthrodesis (RAA), or revision tibiotalocalcaneal fusion (RTTC). To evaluate these options, we compared clinical, radiologic, and patient-reported outcomes.
Effect of Arthroscopically Confirmed Syndesmotic Widening on Outcome Following Isolated Broström Operation for Chronic Lateral Ankle Instability
Tong Su, MD1 , Ming-Ze Du, MD1 , Selene G. Parekh, MD2 , Yan-fang Jiang, MSc1 , Chen Jiao, MD1 , Yue-lin Hu, MD1 , Qin-wei Guo, MD1 , and Dong Jiang, MD
doi : 10.1177/10711007231153388
Tibiofibular syndesmosis (TFS) widening sometimes is not evident on radiography but can be found under arthroscopy in chronic lateral ankle instability (CLAI). This study aimed to evaluate the effect of TFS widening severity on clinical outcomes and return to activities after isolated Broström operation in CLAI patients and to propose an indication for its surgical intervention.
Myth, Lore, and Reality in the Syndesmosis: Moving Toward What Matters
Gregory P. Guyton, MD
Axial Plane Rotation of the Talus in Progressive Collapsing Foot Deformity: A Weightbearing Computed Tomography Analysis
Jaeyoung Kim, MD1 , Lavan Rajan, BA1 , Jensen Henry, MD1 , Rami Mizher, BS1 , Prashanth Kumar, AB2 , Syian Srikumar, BS1 , Constantine Demetracopoulos, MD1 , Scott Ellis, MD1 , and Jonathan Deland, MD
doi : 10.1177/10711007231154894
Progressive collapsing foot deformity (PCFD) is recognized as a 3-dimensional deformity centered around the talus. Previous studies have described some features of talar motion in the ankle mortise in PCFD, such as sagging in the sagittal plane or valgus tilt in the coronal plane.
Sesamoid View Weightbearing Radiography vs Weightbearing Computed Tomography in the Measurement of Metatarsal Pronation Angle
Matthew J. Siebert, MD1 , Jesse N. Steadman, BS1 , and Charles L. Saltzman, MD
doi : 10.1177/10711007231153391
First metatarsal pronation angle (MPA) is increasingly relevant in the management of hallux valgus and is assessed on weightbearing computed tomography (WBCT) and sesamoid-view weightbearing radiography (WBR). The purpose of this study is to compare MPA measured by WBCT against WBR to determine if any systematic discrepancy in MPA measurement exists between the 2 modalities.
The 2-Window Posterolateral vs Single-Window Approach for Ankle Fracture Fixation
Christopher G. Herbosa, BS1 , Philipp Leucht, MD, PhD1 , Kenneth A. Egol, MD1 , and Nirmal C. Tejwani, MD, MPA, FRCS
doi : 10.1177/10711007231156163
The posterolateral approach to the ankle allows for reduction and fixation of the posterior and lateral malleoli through the same surgical incision. This can be accomplished via 1 or 2 surgical “windows.� The purpose of this study is to compare outcomes including wound complications following direct fixation of unstable rotational ankle fracture through the posterolateral approach using either 1 or 2 surgical windows.
Functional Implications of Flat-Topped Talus Following Treatment of Idiopathic Clubfoot Deformity
Matthew J. Siebert, MD1 , Jacob R. Zide, MD2 , Claire Shivers, BS3 , Kirsten Tulchin-Francis, PhD3 , Wilshaw Stevens Jr, BS3 , Justine Borchard, BS3 , and Anthony I. Riccio, MD3
doi : 10.1177/10711007231154899
Though flatness of the talar dome (TD) is a potential consequence of operative and nonoperative clubfoot management, the functional impact of this deformity is not well understood. This study analyzes the relationship between TD morphology and ankle function at skeletal maturity in patients treated for idiopathic clubfoot during infancy.
Recovery Curve for Patients With Pilon Fractures Using Patient-Reported Outcome Measurement Information System
Patrick J. Kellam, MD1 , Zachary A. Cutshall, BS1 , Graham J. Dekeyser, MD2 , David L. Rothberg, MD1 , Thomas F. Higgins, MD1 , Justin M. Haller, MD1 , and Lucas S. Marchand, MD
doi : 10.1177/10711007231156424
The time frame in which patients can expect functional improvement after open reduction internal fixation (ORIF) of pilon fractures is unclear. The purpose of this study was to determine the trajectory and rate at which patients’ physical function improves up to 2 years postinjury.
Classification of the Os Calcis Subtalar Morphology in Symptomatic Flexible Pediatric Pes Planus Deformity Using Weightbearing CT and Distance Mapping
Ben Efrima, MD1 , Agustin Barbero, MD1 , Joshua E. Ovadia, BSc2 , Cristian Indino, MD1 , Camilla Maccario, MD1 , and Federico Giuseppe Usuelli, MD
doi : 10.1177/10711007231156605
The etiology of symptomatic pediatric pes planus (PP) deformity is unclear. Reduced os calcis subtalar joint (OCST) anterior facet morphology has been suggested to result in less support to the talar head and a higher propensity to develop PP deformity.
Effect of Medial Closing Wedge Distal Femoral Varization Osteotomy on Coronal Ankle and Hindfoot Alignment
Kyung Wook Nha, MD, PhD1 , Jae Hwi Han, MD2 , Su Whi Chae, MD1 , and Jun Young Choi, MD, PhD
doi : 10.1177/10711007231154208
To date, only a few studies have reported postoperative changes in coronal ankle alignment after valgus knee correction through medial closing wedge distal femoral varization osteotomy (MCWDFO). This study aimed to measure the changes of MCWDFO on coronal ankle and hindfoot alignment.
Lateral Decubitus Position for Minimally Invasive Surgery for Correction of Hallux Valgus Deformity: A Technique Tip
J. Benjamin Jackson III, MD, MBA1 , Rodrigo Encinas, BS 1 , and Tyler Gonzalez, MD, MBA
Local Anesthetic Distension to Reduce Medial Soft Tissue Injury and Entrapment During Suture Button Placement in Syndesmosis Injuries: Technique Tip
Choon Chiet Hong, MBBS, MRCSED, MMed(Ortho), FRCSEd1,2 , and James Calder, MD, PhD, MBBS, FFSEM, FRCS(Tr&Orth)
Methods for Biomechanical Testing of Posterior Malleolar Fractures in Ankle Fractures: A Scoping Review
Ingrid K. Stake, MD1,2 , Brenton W. Douglass, BA1 , Elisabeth E. Husebye, MD, PhD3 , and Thomas O. Clanton, MD 1,
doi : 10.1177/10711007231156164
The treatment of posterior malleolar fractures (PMFs) is debated, including the need for surgery and method of fixation. Recent literature has suggested that fracture pattern, rather than fragment size, may be an important predictor for ankle biomechanics and functional outcome.
Medium- to Long-term Results of Nonanatomic Spring Ligament Reconstruction Using an Allograft Tendon in Progressive Collapsing Foot Deformity With Severe Abduction Deformity
Jaeyoung Kim, MD1 , Rami Mizher, BS1 , Carolyn M. Sofka, MD1, Scott J. Ellis, MD1 , and Jonathan T. Deland, MD
doi : 10.1177/10711007231157657
Spring ligament reconstruction (SLR) has been suggested as an adjunct to other reconstructive procedures to potentially avoid talonavicular joint fusion in progressive collapsing foot deformity (PCFD) with severe abduction deformity.
Letter Regarding: Tranexamic Acid Utilization in Foot and Ankle Surgery: A Meta-analysis
Peyman MirghaderiReza Mirghaderi, MDAmir R. Kachooei, MD, PhD
Response to “Letter Regarding: Tranexamic Acid Utilization in Foot and Ankle Surgery: A Meta-analysis�
Motasem Salameh, MD Raymond Hsu, MD Brad Blankenhorn, MD
