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Cover 1 -- cover prints black and PMS 261
doi : 10.1053/S1067-2516(23)00018-2
Volume 62, Issue 2, March–April 2023, Page CO1
Subscription Information
doi : 10.1053/S1067-2516(23)00020-0
Volume 62, Issue 2, March–April 2023, Page A2
Table of Contents
doi : 10.1053/S1067-2516(23)00022-4
Volume 62, Issue 2, March–April 2023, Pages A7-A12
New Year's Resolution
Graham A. Hamilton, DPM, FACFAS
doi : 10.1053/j.jfas.2023.01.003
Volume 62, Issue 2, March–April 2023, Pages 207-209
Salvage of Chronic Syndesmosis Instability: A Retrospective Review With Mid-Term Follow-Up
Kiera A. Kingston, MD 1 , Ye Lin, MD1 , Alexander T. Bradley, MD1 , Jason Strelzow, MD 1 , Kelly Hynes, MD1 , Brian C. Toolan, MD
doi : 10.1053/j.jfas.2022.06.010
Volume 62, Issue 2, March–April 2023, Pages 210-217
Malreduced syndesmotic injuries lead to poor outcomes. No consensus exists regarding preferred surgical treatment. This study aims to assess clinical and radiographic outcomes in patients undergoing distal tibiofibular arthrodesis or stabilization.
Use of Ankle Dorsiflexion and the Dimeglio and Pirani Scores in Predicting Relapse of Clubfoot Treated With the Ponseti Method
Yungu Chen, MD # , Shengxuan Cao, MD # , Chen Wang, PhD, Xin Ma, PhD, Xu Wang, PhD
doi : 10.1053/j.jfas.2022.06.011
Volume 62, Issue 2, March–April 2023, Pages 218-221
Although Dimeglio and Pirani scores are frequently employed to rate the severities of clubfoot and to evaluate treatment outcomes, it is unclear if these scores predict relapse after treatment. Ankle dorsiflexion has been suggested in recent years to be a promising predictor of relapse.
The Efficacy of Posterior Fasciotomy Versus Inserted Vacuum Drainage in Reducing Postoperative Surgical Site Infection in Open Achilles Tendon Repair: A Prospective Cohort Study With Inverse Probability Treatment Weight Propensity Score Analysis
Pissanu Reingrittha, MD, Kriangkamol Benjawongsathien, MD, Surawit Visuthisakchai, MD
doi : 10.1053/j.jfas.2022.06.012
Volume 62, Issue 2, March–April 2023, Pages 222-227
Posterior crural fasciotomy (PF) may reduce postoperative surgical site infection (SSI) rate compared to inserted vacuum suction drainage (VD) in open Achilles tendon repair surgery.
An Analysis of 50 Consecutive Total Ankle Replacements Undergoing Preoperative Computerized Tomography Scan-Based, Engineer-Provided Planning From a Single Noninventor, Nonconsultant Surgeon
Garrett Biela, DPM1 , Jason Piraino, DPM, MS, FACFAS 2 , Thomas S. Roukis, DPM, PhD, FACFAS
doi : 10.1053/j.jfas.2022.06.013
Volume 62, Issue 2, March–April 2023, Pages 228-236
Preoperative computerized tomography (CT) scan-based, engineer-provided alignment plans and patient-specific pinning blocks for total ankle replacement (TAR) are available for use in the United States.
The Effects of Tibialis Anterior Tenotomy on Wound Complications and Functional Outcomes After Anterior Fusion Plating for Severe Ankle Arthritis
Seok-Won Kim, MD1 , Seung-Myung Choi, MD2 , Min-Boo Kim, MD1 , Byung-Ki Cho, MD
doi : 10.1053/j.jfas.2022.06.014
Volume 62, Issue 2, March–April 2023, Pages 237-243
Nonunion is known to be a relatively common complication following ankle arthrodesis. Various fixation techniques have been introduced to enhance the stability and to improve fusion rate. With the use of anterior plate supplementation, postoperative wound problems have been frequently reported despite better fusion rate
Pain Reduction With AbobotulinumtoxinA for the Treatment of Hallux Valgus in Adult Participants: Results of a Randomized and Placebo-Controlled Phase 2 Trial
David G. Armstrong, DPM, MD, PhD 1 , Lawrence A. DiDomenico, DPM, FACFAS 2 , Babak Baravarian, DPM3 , Selene G. Parekh, MD, MBA4 , Magali Volteau, MSc 5 , Robert Silva, PhD
doi : 10.1053/j.jfas.2022.07.002
Volume 62, Issue 2, March–April 2023, Pages 244-253
AbobotulinumtoxinA (aboBoNT-A, Dysport® [Ipsen, Paris, France]) inhibits acetylcholine release at the neuromuscular junction and may modulate pain signaling in hallux valgus (HV).
What Do Patients Report Regarding Their Real-World Function Following Triplane Metatarsophalangeal Joint Arthrodesis for Hallux Valgus?
Mindi Dayton, DPM, MHA, FACFAS 1 , Paul Dayton, DPM, MS, FACFAS 1 , Cody J. Togher, DPM, AACFAS 2 , John M. Thompson, DPM, AACFAS
doi : 10.1053/j.jfas.2022.07.003
Volume 62, Issue 2, March–April 2023, Pages 254-260
First metatarsalphalangeal (MTP) joint arthrodesis has been employed for decades for pain related to arthritis and other associated abnormalities. Despite the commonality of the procedure there continues to be questions regarding functional expectations following the procedure especially when employed for correction of hallux valgus deformity.
Morphology of the Lisfranc Joint Complex
Meridith K. DeLuca, MS1 , Laura C. Boucher, PhD, ATC
doi : 10.1053/j.jfas.2022.07.004
Volume 62, Issue 2, March–April 2023, Pages 261-266
Lisfranc injuries are complicated injuries of the tarsometatarsal joint with high rates of sequelae. Both anatomy and injury of the Lisfranc joint are variably documented. Descriptions of these injuries and their associated structures vary greatly.
Indocyanine Green Fluorescence Angiography in Minor Lower Extremity Amputations: A Useful Technique?
Ramez Sakkab, DPM1 , Tyler M. MacRae, DPM 1 , Craig Morgan, DPM2 , James Longobardi, DPM
doi : 10.1053/j.jfas.2022.07.005
Volume 62, Issue 2, March–April 2023, Pages 267-271
Complications remain despite conventional methods aimed at improving survivorship of lower extremity amputations. High rates of wound dehiscence, readmission, and revision surgery warrant the development of innovative methods to improve amputation survivorship.
The Role of the Plantaris in Intramuscular Gastrocnemius Equinus Correction
Kristin B. Kindred, DPM, FACFAS 1 , Andrew P. Kapsalis, DPM, AACFAS 1 , William J.E. Adams, DPM, FACFAS 1 , J. Michael Miller, DPM, FACFAS 2 , Douglas K. Blacklidge, DPM, FACFAS 2 , Brian G. Elliott, DPM, FACFAS 3 , Scott M. Hoffman, DPM, FACFAS
doi : 10.1053/j.jfas.2022.07.006
Volume 62, Issue 2, March–April 2023, Pages 272-274
Equinus deformity is a common cause of foot and ankle pathology. The purpose of our study was to evaluate the role of the plantaris in equinus. Secondary aims were to describe the role of the plantaris in intramuscular gastrocnemius recession and to determine the prevalence of the plantaris in our patient population.
Outcomes of Partial Calcanectomy in an Academic Limb Salvage Center: A Multicenter Review
Madison Ravine, DPM1 , Saira Kumaravel, DPM 2 , Monara Dini, DPM, FACFAS 3,4 , Charles Parks, DPM, FACFAS 3,5 , Steven W. Shader, DPM6 , Chia-Ding Shih, DPM, MPH, MA 3 , Mher Vartivarian, DPM, FACFAS 3,4 , Anna Guo, MS 7 , Alexander Reyzelman, DPM, FACFAS
doi : 10.1053/j.jfas.2022.07.007
Volume 62, Issue 2, March–April 2023, Pages 275-281
Chronic nonhealing heel ulcerations have been established as an independent risk factor for major amputation, with poor rates of limb salvage success. Partial calcanectomy is a controversial limb salvage procedure reserved for patients with these heel ulcerations.
Cheilectomy With Decompression Osteotomy for Treatment of Hallux Limitus and Rigidus: A Retrospective Study With 5-Year Outcomes
John Shields, DPM1 , Neil Gambhir, BS 2 , Matthew Alben, BS2 , Alina Kogan, DPM1 , Paul Greenberg, DPM, FACFAS, FAAPSM 1 , Rick Delmonte, DPM, FACFAS
doi : 10.1053/j.jfas.2022.07.008
Volume 62, Issue 2, March–April 2023, Pages 282-285
We examined outcomes following metatarsophalangeal joint cheilectomy with decompression osteotomy to evaluate the efficacy of this technique for treatment of hallux limitus/rigidus.
Anatomy of the Sural Nerve in the Posterolateral Approach to the Ankle: A Cadaveric Study
Yaser Ghani, FRCS (Tr&Orth) 1 , Ali-Asgar Najefi, FRCS (Tr&Orth) 2 , Yasser Aljabi, FRCS (Tr&Orth) 3 , Krishna Vemulapalli, FRCS
doi : 10.1053/j.jfas.2022.08.001
Volume 62, Issue 2, March–April 2023, Pages 286-290
Sural nerve injury may occur during the posterolateral approach to the ankle during fracture fixation. We aimed to map its location in a posterolateral approach in cadaveric specimens.
Does Electrocauterization of the Matrix After the Wedge Resection of the Toe-Nail Affect Recurrence in Discrete Age Groups Differently? A Retrospective Analysis
Utku Gurhan, MD 1 , Yakup Kahve, MD 2 , Ibrahim Alper Yavuz, MD 3 , Ali Varol, MD4 , Kaan Erler, Prof
doi : 10.1053/j.jfas.2022.08.002
Volume 62, Issue 2, March–April 2023, Pages 291-294
The onychocryptosis, also known as ingrown toe-nails, is a painful, common disorder which is less common in children than in adults. The purpose of the present study was to focus on the effect of electrocautery matricectomy on recurrence rate and clinical outcomes in different age groups.
Validity and Reliability of the European Foot and Ankle Society (EFAS) Score in Patients With Hallux Valgus in Singapore
Chin Chuen Tan, BSc (Hons), MD1 , Andrew Arjun Sayampanathan, MBBS, MRCS (Edin) 1 , Yu Heng Kwan, MD, PhD2,3 , William YEO, BAppSc (Physiotherapy) Hons, MPhty (Manips.) 4 , Nicholas Eng Meng Yeo, MBBS, MRCS (Edin), MMed (Ortho), FRCS (Edin)
doi : 10.1053/j.jfas.2022.08.003
Volume 62, Issue 2, March–April 2023, Pages 295-299
The European Foot and Ankle Society score is a popular tool for monitoring treatment outcomes of foot or ankle conditions. However, few studies have assessed its psychometric properties in patients with hallux valgus.
Biomechanical Comparison of Cannulated Screw Osteosynthesis With Tension-Band Wiring for Proximal Fractures of the Fifth Metatarsal (Jones Fracture)
Mark Unthan, MD 1 , Isabel Graul, MD1 , Jakob Hallbauer, MD 1 , Robert Lindner, MD 1,2 , Gunther O. Hofmann, MD 1 , Felix C. Kohler, MD
doi : 10.1053/j.jfas.2022.08.004
Volume 62, Issue 2, March–April 2023, Pages 300-303
Jones fractures, which lie at the junction of the diaphysis to the metaphysis of the fifth metatarsal, are a well-described clinical issue. There are various surgical approaches, including the commonly performed cannulated screw osteosyntheses, and the less frequently used tension-band approach.
Anterior Ankle Incision Healing Complications With and Without Tourniquet Use: A Retrospective Comparative Cohort Study
Andrea Cifaldi, DPM, AACFAS1 , William McGlone, DPM, AACFAS 1 , Tyler McKee, DPM, AACFAS 2 , John Bonvillian, DPM, AACFAS3 , Douglas Blacklidge, DPM, FACFAS 2 , J. Michael Miller, DPM, FACFAS 4 , Brian Elliott, DPM, FACFAS
doi : 10.1053/j.jfas.2022.08.006
Volume 62, Issue 2, March–April 2023, Pages 304-309
Anterior ankle incisions and tourniquet use in foot and ankle surgery have both been associated with increased incidence of incisional healing complications. Although a tourniquet is commonly used for procedures such as total ankle replacement and ankle arthrodesis that utilize an anterior ankle incision, it is possible to avoid tourniquet use while preserving adequate visualization with atraumatic layered dissection and closure, appropriate use of electrocautery, and ligation of vessels as needed.
Anterior Ankle Incision Healing Complications With and Without Tourniquet Use: A Retrospective Comparative Cohort Study
Senthil Sambandam, MD1 , Tejas Senthil 2 , Philip Serbin, MD 3 , Vibhu Krishnan Viswanathan, MD 4 , Varatharaj Mounasamy, MD5 , Dane Wukich, MD
doi : 10.1053/j.jfas.2022.08.007
Volume 62, Issue 2, March–April 2023, Pages 310-316
Although total ankle arthroplasty (TAA) is becoming a progressively common procedure with a reported 10-fold increase in its prevalence over the past 2 decades; there is still limited large-scale data regarding its overall outcome.
CT and Functional Outcomes of Primarily Ligamentous and Combined Ligamentous-Bony Lisfranc Injuries: A Retrospective Review
Fernando A. Huyke-Hernandez, BS 1,2 , Nicholas Lesmeister, MD3 , Bret Yonke, MD1 , James Mazzuca, DPM
doi : 10.1053/j.jfas.2022.08.008
Volume 62, Issue 2, March–April 2023, Pages 317-322
Lisfranc injuries have been rising in incidence and can cause significant and lasting morbidity. There is no consensus on the optimal surgical treatment for these injuries, be they primarily ligamentous or combined (bony and ligamentous).
Anatomy of the Plantar Intermetatarsal Tunnel: A Cadaveric Study
Baofu Wei, MD1,# , Chuansheng Fu, MD 1,# , Peiting Liu, MD 2 , Longbin Bai, MD2 , Kai Rong, PhD, MD
doi : 10.1053/j.jfas.2022.08.009
Volume 62, Issue 2, March–April 2023, Pages 323-326
The contents of the plantar intermetatarsal tunnel (PIMT) and the relationship between the common plantar interdigital nerve (CPIN) and the PIMT were recorded. The width of the PIMT was measured at the metatarsal neck (MTN), metatarsophalangeal (MTP) joint and the base of the proximal phalanx (BPP).
Rates of Lapidus Procedures in the US Military Before and After the Advent of and Advocacy for Tri-Plane Lapidus Corrective Surgery
D. Alan Nelson, MPAS, PhD 1 , Jeannie Huh, MD, LTC, US Army2 , Daniel R. Clifton, PhD, ATC 3,4 , Daniel B. Edgeworth, MS 3,4 , Donald Shell, MD 5 , Y. Sammy Choi, MD 1 , Patricia A. Deuster, PhD, MPH3
doi : 10.1053/j.jfas.2022.08.010
Volume 62, Issue 2, March–April 2023, Pages 327-332
Tri-plane corrective Lapidus surgery has been described as advantageous with respect to its anatomic basis and outcomes. Because the procedure has been broadly publicized, changes in overall Lapidus procedure rates due to increased numbers of patients opting for the tri-plane approach could have occurred.
Identifying the Potential Role of Regional Bone Mineral Density on the Degree of Malleolar Involvement in Acute Ankle Fractures
Cody J. Togher, DPM, AACFAS1 , Thomas Ferrise, DPM2 , Hannah Sahli, DPM, AACFAS 3 , Joshua A. Sebag, DPM, FACFAS 4 , Jordan Butterfield, DPM, AACFAS5 , Amber M. Shane, DPM, FACFAS 6 , Christopher Reeves, DPM, FACFAS
doi : 10.1053/j.jfas.2022.08.011
Volume 62, Issue 2, March–April 2023, Pages 333-337
Ankle fractures are a common traumatic lower extremity injury and are generally classified and characterized by the rotational mechanism of injury. At each malleolus (i.e., posterior, medial, and lateral) a fracture can occur or a ligamentous injury may be sustained. The purpose of this retrospective study was to determine if bone mineral density is a contributing factor on the number of fractured malleoli versus soft tissue injury in adult ankle fractures.
Computed Tomography Derived Patient-specific Instrumentation Total Ankle Arthroplasty Survivorship Outcomes
Christopher M. Hinh, DPM1 , Alexander C.M. Chong, MSAE, MSME 1,2 , Bennen R. Bierman, DPM1 , Timothy P. Uglem, DPM
doi : 10.1053/j.jfas.2022.08.012
Volume 62, Issue 2, March–April 2023, Pages 338-346
Computed tomography (CT) derived patient-specific total ankle arthroplasty (TAA) systems have been utilized for improved accuracy and reproducible implant alignment. The purpose of the present study was to report the overall implant survivorship as well as radiographic analysis of patients who underwent primary TAA utilizing CT-derived patient-specific instrumentation.
First Tarsometatarsal Joint Fusion for Hallux Valgus Deformity: A Retrospective Comparison of Two Fixation Constructs Regarding Initial Maintenance of Correction and Complications: Traditional Crossing Screw Fixation Versus Dorsomedial Locking Plate and Intercuneiform Compression Screw
Kyle W. Abben, DPM, FACFAS 1 , Chloe F. Sakow, DPM, MPH 2 , Tyler Sorensen, DPM2 , Howard C. Chang, DPM 2 , Troy J. Boffeli, DPM, FACFAS
doi : 10.1053/j.jfas.2022.09.002
Volume 62, Issue 2, March–April 2023, Pages 347-354
Various fixation constructs exist to address hallux valgus when performing a first tarsometatarsal joint arthrodesis. The goal of this present study is to compare complication rates, and degree and maintenance of angular correction between a dorsomedial locking plate with intercuneiform compression screw construct versus traditional crossing solid screw fixation construct.
Intramedullary Screw Fixation Versus Traditional Plating for Distal Fibula Fractures
Tanner T. McClure, DO 1 , Benjamin C. Taylor, MD 2 , Grant Huber, BS 3 , Matthew Glazier, DO 1 , Devon M. Myers, DO 1 , Daniel T. DeGenova, DO
doi : 10.1053/j.jfas.2022.09.003
Volume 62, Issue 2, March–April 2023, Pages 355-359
The traditional method of treating fibular fractures in unstable ankle injuries involves open reduction and internal fixation with a plate and screw construct. Less invasive percutaneous fixation techniques with intramedullary fibular screws have been utilized for many years to reduce wound and implant complications while maintaining a stable ankle mortise.
Gas-Producing Infections in the Foot at a Large Academic Medical Center: A 10-Year Retrospective Review
John A. Martucci, DPM, AACFAS1 , Kevin Riemer, DPM, FACFAS
doi : 10.1053/j.jfas.2022.09.004
Volume 62, Issue 2, March–April 2023, Pages 360-364
Gas-producing infections, such as clostridial and nonclostridial gas gangrene, crepitant cellulitis, and necrotizing fasciitis, are characterized in the literature by a variety of initial presentations, microbial burdens and surgical outcomes—ranging from debridement to amputation to death.
Comparing Calcaneus Fracture Radiographic Outcomes and Complications after Percutaneous Pin versus Screw Fixation
Mariel M. Rickert, MD1 , Lydia J. McKeithan, MD 1 , Alexander J. Volkmar, MD 1 , Kelsey Henderson, BS 2 , Rogelio A. Coronado, PT, MPT, PhD1 , Phillip M. Mitchell, MD1 , Bethany Gallagher, MD 1 , William T. Obremskey, MD, MPH
doi : 10.1053/j.jfas.2022.09.005
Volume 62, Issue 2, March–April 2023, Pages 365-370
Calcaneus fracture fixation is associated with high rates of morbidity and disability from wound complications, infection, subtalar arthritis, and malunion. Percutaneous fixation with Kirshner wires (K-wires) or screws may be implemented when soft tissue injury precludes an open approach.
How Much Angular Offset is Acceptable to Achieve Minimum Contact for a Successful First Metatarsophalangeal Joint Fusion?
Logan N. Dickinson, BS1 , Vincent M. Wang, PhD 1 , Jennifer S. Wayne, PhD1 , John R. Clements, DPM
doi : 10.1053/j.jfas.2022.09.006
Volume 62, Issue 2, March–April 2023, Pages 371-376
First metatarsophalangeal joint (MTPJ) fusion is a surgery to treat severe joint arthritis and pain following failure of conservative treatment. A first MTPJ fusion can be performed open or via a percutaneous approach with joint fixation achieved using various techniques including dorsal plate and screw fixation.
Radiodensity Analysis of Lateral Column Superconstruct Fixation Sites in Midfoot Charcot Neuroarthropathy
Dominick J. Casciato, DPM1 , Ryan Stone, DPM1 , John Thompson, DPM, AACFAS 2 , Marissa Venero, DPM3 , Michael Chiu, DPM 3 , Jonathan Blum, DPM, FACFAS 4 , Ian Barron, DPM, FACFAS 5 , Christopher Hyer, DPM, MS, FACAS
doi : 10.1053/j.jfas.2022.09.007
Volume 62, Issue 2, March–April 2023, Pages 377-381
Lateral column deterioration and subsequent loss of function poses a challenge for limb preservation in patients with Charcot neuroarthropathy (CN). Application of “superconstructs� provides stability and clinical improvement to an often-ulcerated lateral foot.
Defining Reference Values for the Normal Adult Lisfranc Joint Using Weightbearing Computed Tomography
Chatura Gihan Wijetunga, MBBS, BMedSc, FRANZCR 1 , Justin Roebert, BHB, MBCHB, FRANZCR 2 , Richard John Hiscock, MBBS, FANZCA, MBiostat 3 , Harvinder S. Bedi, MBBS, FRACS4 , Sasha Roshan-Zamir, MBBS, FRACS4 , Otis Wang, MBBS, FRACS 4 , Andrew Fraval, MBBS 5 , Julie Tate, BSc (Hons) 6 , Maggie Eden, BSc 6 , Andrew H. Rotstein, MBBS, FRANZCR
doi : 10.1053/j.jfas.2022.09.008
Volume 62, Issue 2, March–April 2023, Pages 382-387
The uninjured contralateral feet of consecutive patients undergoing cone-beam weightbearing computed tomography for acute Lisfranc injury between July 2017 and October 2019 were retrospectively analyzed.
Comparison of Anterior Iliac Crest Versus Proximal Tibia Autologous Bone Graft Harvesting: A Systematic Review and Meta-Analysis
Gregorio Alejandro Villarreal-Villarreal, MD 1 , Mario Simental-MendÃa, PhD1 , Augusto Andres Gamboa Alonso, MD 2 , Felix Vilchez-Cavazos, MD, PhD2 , Carlos Alberto Acosta-Olivo, MD, PhD 1 , VÃctor Manuel Pe~na-MartÃnez, MD, PhD
doi : 10.1053/j.jfas.2022.10.004
Volume 62, Issue 2, March–April 2023, Pages 388-397
Anterior iliac crest (AIC) is the preferred option for bone grafting; however, pain and complications are reported. Proximal tibia (PT) is a sourceful site for bone grafting with lower complications. MEDLINE, EMBASE, and Scopus were searched to identify studies comparing AIC and PT autograft procedure.
Effectiveness of Arthroscopically Assisted Surgery for Ankle Arthrodesis
Guangwei Xing, MD1 , Mingjie Xu, MD1 , Jinneng Yin, BS 2, *, Yan Wei, BS3 , Ligui Zhang, BS
doi : 10.1053/j.jfas.2022.12.001
Volume 62, Issue 2, March–April 2023, Pages 398-404
Regarding the treatment of ankle arthritis, the choice of arthroscopic ankle arthrodesis (AAA) or open ankle arthrodesis (OAA) remains controversial. To guide clinical decision-making, we conducted a meta-analysis on the optimal treatment of ankle arthrodesis.
Letter to the Editor on “Aplastic Posterior Tibial Artery in the Presence of Trimalleolar Ankle Fracture Dislocation Resulting in Below-the-Knee Amputation�
Liangfeng Xu, MD
doi : 10.1053/j.jfas.2022.06.015
Volume 62, Issue 2, March–April 2023, Page 405
