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Clinics in Podiatric Medicine and... Apr 2022The correction of the deformed arthritic foot and ankle is a complicated and somewhat controversial topic. After conservative methods fail, there is a wide range of... (Review)
Review
The correction of the deformed arthritic foot and ankle is a complicated and somewhat controversial topic. After conservative methods fail, there is a wide range of possible bony procedures and arthrodesis that maybe performed. The appropriate work up and understanding of the pathomechanics is vital to the correct choice of procedures to correct these deformities. Once the work up and procedure selection is done, the operation must also be technically performed well and with efficiency, as most often the condition is corrected with a variety of procedures. This article discusses some of the most common procedures necessary to fully correct deformity of the midfoot, hindfoot, and ankle. This article will also discuss the authors' technique and pearls.
Topics: Ankle; Ankle Joint; Arthrodesis; Foot; Humans; Lower Extremity
PubMed: 35365325
DOI: 10.1016/j.cpm.2021.11.011 -
Clinics in Podiatric Medicine and... Oct 2022Static circular fixation is a valuable tool for patients with Charcot foot and ankle deformities. The versatility of circular fixators allows for dynamic adjustments... (Review)
Review
Static circular fixation is a valuable tool for patients with Charcot foot and ankle deformities. The versatility of circular fixators allows for dynamic adjustments over time and can allow for off-loading of flaps or ulcers. The circular fixator can be used as a primary fixation device in cases of osteomyelitis or to facilitate lengthening when a segmental bone defect exists such as loss of the talus. As a secondary fixation device it can protect the internal fixation or be used when there is a compromised soft tissue envelope.
Topics: Ankle; Ankle Joint; Arthropathy, Neurogenic; External Fixators; Humans; Osteomyelitis
PubMed: 36180194
DOI: 10.1016/j.cpm.2022.05.008 -
Foot and Ankle Clinics Jun 2019Patients with varus ankle deformity and concomitant osteoarthritis experience severe disabling pain that affects their daily activity of living. Most cases rarely... (Review)
Review
Patients with varus ankle deformity and concomitant osteoarthritis experience severe disabling pain that affects their daily activity of living. Most cases rarely respond to nonoperative treatment. One surgical option is corrective ankle arthrodesis. Unfortunately, this corrective surgery is challenging and might not be possible as a purely isolated procedure. Corrective ankle arthrodesis for varus ankle is performed with different surgical approaches and techniques, using different methods of fixations. The goal of surgery is to create a pain-free, stable, and plantigrade ankle, hindfoot, and foot. Both the foot and ankle must be correctly aligned in the optimal position for proper locomotion.
Topics: Ankle; Ankle Joint; Arthrodesis; Bone Malalignment; Foot; Humans; Osteoarthritis
PubMed: 31036268
DOI: 10.1016/j.fcl.2019.02.009 -
Seminars in Musculoskeletal Radiology Dec 2022
Topics: Humans; Ankle; Ankle Joint; Postoperative Complications; Lower Extremity
PubMed: 36791731
DOI: 10.1055/s-0042-1760243 -
Foot and Ankle Clinics Dec 2022The current article provides an algorithm of how to approach crippled ankle by ankle arthrodesis. There is no standard pathology or treatment present, which makes the... (Review)
Review
The current article provides an algorithm of how to approach crippled ankle by ankle arthrodesis. There is no standard pathology or treatment present, which makes the diagnosis but also surgical correction complex. A surgeon who faces this kind of deformities needs to be skilled and well familiar with the full setting of the foot and ankle armamentarium.
Topics: Humans; Ankle; Arthrodesis; Ankle Joint
PubMed: 36368802
DOI: 10.1016/j.fcl.2022.07.004 -
Magnetic Resonance Imaging Clinics of... Nov 2022Many surgical procedures and operations are used to treat ankle and foot disorders. Radiography is the first-line imaging for postoperative surveillance and evaluation... (Review)
Review
Many surgical procedures and operations are used to treat ankle and foot disorders. Radiography is the first-line imaging for postoperative surveillance and evaluation of pain and dysfunction. Computed tomography scans and MR imaging are used for further evaluation. MR imaging is the most accurate test for soft tissues assessments. MR imaging protocol adjustments include basic and advanced metal artifact reduction. We chose a surgical approach to select the common types of procedures and discuss the normal and abnormal postoperative MR imaging appearances, highlighting potential complications. This article reviews commonly used surgical techniques and their normal and abnormal MR imaging appearances.
Topics: Ankle; Ankle Injuries; Ankle Joint; Foot Diseases; Humans; Magnetic Resonance Imaging
PubMed: 36243515
DOI: 10.1016/j.mric.2022.05.006 -
Foot and Ankle Surgery : Official... Aug 2021
Topics: Ankle; Ankle Joint; Bibliometrics; Humans; Orthopedics; Periodicals as Topic
PubMed: 34274239
DOI: 10.1016/j.fas.2021.07.003 -
Foot and Ankle Clinics Sep 2023Ultrasound is a high-resolution, real-time imaging modality that is frequently used for image-guided procedures. Due to the highly complex anatomy of the foot and ankle,... (Review)
Review
Ultrasound is a high-resolution, real-time imaging modality that is frequently used for image-guided procedures. Due to the highly complex anatomy of the foot and ankle, ultrasound should be considered a first-line imaging modality for injections and procedures in this region.
Topics: Humans; Ankle; Ankle Joint; Ultrasonography; Injections, Intra-Articular
PubMed: 37536823
DOI: 10.1016/j.fcl.2023.04.005 -
Foot and Ankle Clinics Jun 2023Not all ankle sprains are the same and not all ankles behave the same way after an injury. Although we do not know the mechanisms behind an injury producing an unstable... (Review)
Review
Not all ankle sprains are the same and not all ankles behave the same way after an injury. Although we do not know the mechanisms behind an injury producing an unstable joint, we do know ankle sprains are highly underestimated. While some of the presumed lateral ligament lesions might eventually heal and produce minor symptoms, a substantial number of patients will not have the same outcome. The presence of associated injuries, such as additional medial chronic ankle instability, chronic syndesmotic instability, has been long discussed as a possible reason behind this. To explain multidirectional chronic ankle instability, this article aims to present the literature surrounding the condition and its importance nowadays.
Topics: Humans; Ankle; Ankle Joint; Joint Instability; Sprains and Strains; Ankle Injuries
PubMed: 37137631
DOI: 10.1016/j.fcl.2023.01.012 -
Physical Medicine and Rehabilitation... Nov 2021Ablation therapies in the foot and ankle are accessible adjuncts to surgery and comprehensive pain management in recalcitrant pain syndromes. Techniques are best applied... (Review)
Review
Ablation therapies in the foot and ankle are accessible adjuncts to surgery and comprehensive pain management in recalcitrant pain syndromes. Techniques are best applied to individual patient anatomy with strong advantages in a working knowledge of neuromuscular real-time imaging with ultrasound. Interventionists face the unique challenge in this region of preserving balance and proprioception as well as intrinsic muscle function, while optimizing pain relief. A decision-making approach emphasizing selectivity by using regional and target-specific ablations is optimal. This article reviews basic technique, approaches, potential complications, and ultrasound anatomy for a practical introduction to ablation options in the foot and ankle.
Topics: Ankle; Ankle Joint; Humans; Pain Management; Proprioception; Ultrasonography
PubMed: 34593145
DOI: 10.1016/j.pmr.2021.05.014