Foot and Ankle Clinics
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Salvage options for peroneal tendon ruptures.
Reports have demonstrated that peroneal tendon tears can be successfully treated by direct repair or debridement and tubularization, based on the extent and nature of the pathology. Irreparable peroneal tendon tears or completely unsalvageable tendons after failure of previously attempted repairs ar...
Association of lower limb injury with boot cleat design and playing surface in elite soccer.
Reducing external injury risk factors associated with the boot-surface interaction is important in reducing the incidence and severity of foot and ankle injury. A review of prospective football (soccer) injury epidemiology studies determined that the incidence of noncontact ankle sprain injury is re...
Osteochondral lesions of the talus: defining the surgical approach.
It has become clear that contrary to the previously held belief that osteochondral lesions of the talus occurred anterolaterally and posteromedially, there is a much wider spread across the talus. Lesions can now be mapped by their biology and geography, and from this the ideal procedure and the ide...
Tendoscopy in stage I posterior tibial tendon dysfunction.
I PTTD was defined by Johnson and Strom as tenosynovitis or tendinitis whereby tendon length remains normal, there is no hindfoot deformity, and diagnosis is basically clinical, characterized by swelling and tenderness posterior to the medial malleolus. The PTT has a hypovascular zone 40 mm proximal...
Planning correction of the varus ankle deformity with ankle replacement.
Ankle replacement in the presence of a varus deformity is an evolving field. Although the initial results were disappointing, numerous advances in the understanding of the condition and operative techniques have been made. More recent reports show good short-term results, especially...
Nerve Problems in the Lower Extremity
The article provides an overview of management and repair strategies for lower extremity peripheral nerve injuries. It discusses the indications for autografts, nerve conduits, allografts, end-to-side repairs, primary repair, and nerve transfers. The relative pros and cons of each strategy are...
Tendon Transfers for Equinovarus Deformity in Adults and Children
Adolescent Accessory Navicular
Our preferred method is excision for small ossicles and segmental fusion after removal of the synchondrosis for large ossicles. In addition, pes planovalgus deformities need to be addressed concomitantly....