Christopher F Hyer

..Recently, locked plates have been introduced that help support this technique by offering added stability. We present our experience with 45 first MTP fusions in 45 feet using a locked plate and compression screw...

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..The purpose of this study is to report the 5-year follow-up of a joint preservation technique for the treatment of advanced hallux rigidus...

..Osteochondral lesions of the distal tibial plafond (OLTPs) are an uncommon problem. The purpose of this study was to evaluate clinical outcomes following arthroscopic treatment of OLTPs...

..The data reveal no significant difference in time to fusion or rate of fusion between static and locked plates, with or without a lag screw...

..Approximately 50% of the deformity was corrected when comparing pre and postoperative talar tilt values. In patients with varus deformity greater than 10 degrees preoperatively, persistent varus may occur...

..There are few salvage options available and controversy exists as to the surgical management for patients with talar AVN. The authors present their results of tibiotalocalcaneal arthrodesis with a retrograde nail...

..Based on our experience with ankle arthroplasty and the surgical management of hindfoot and ankle trauma, we believe that the use of NWPT in the immediate postoperative period is both safe and efficacious...

..Early outcomes suggest that many surgeons are willing to assimilate a registry system into their practice. This registry supports the critical need for data collection in lower extremity medicine...

..Currently the standard in many areas is that of two or three crossed screws through the first tarsometatarsal region. This type of fixation requires an extended period of nonweightbearing and may be difficult for patient compliance...

..While limited studies report improvement of function, improvement in quality of life and radiographic durability is unknown...

..This article is a review of the history, etiology, and clinical and radiographic presentations of hallux rigidus. The focus is on current treatment options being offered for the treatment of hallux rigidus...

..In all cases the initial deformity was corrected. The early results, however, demonstrate high risk of early failure and positional changes...

..The purpose of the current study was to evaluate the presence of postoperative edema on MRI following osteochondral lesion of the talus (OLT) drilling and to correlate MRI findings with clinical outcome...

..This background knowledge can help the foot and ankle researcher have a better understanding of the process and perhaps improve efficiency...

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..Various methods of fixation of the syndesmosis have been reported. We present the largest series evaluating the Arthrex Tightrope for management of syndesmotic injuries...

..Treatment options are limited for young and active patients with hallux rigidus of the first metatarsophalangeal (MTP) joint. Soft-tissue interpositional arthroplasty is a promising alternative...

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..This information may aid in the cost management of this procedure without compromising clinical results. ACFAS Level of Clinical Evidence: 2c...

..In this study, we retrospectively reviewed a group of patients treated operatively for osteochondral lesions of the talus to determine factors that may have affected outcome...

..Level of Clinical Evidence: 2...

..Patients with this difficult pathology can be successfully salvaged, but there is a high risk of complications...

..Comparable nonunion and complication incidences were observed between single and 2-screw fusions. These data suggest that the motion occurring from single-screw fixation may not be significant enough to directly affect the rate of union...

..The use of opening base wedge plates, locking plates for the Lapidus fusion, suture endobuttons, and staples for the Akin procedure are the focus in this review of modern techniques...

..Our study has demonstrated the decision to use stainless steel or titanium can be left to patient constraints, such as allergies, or physician preference without compromising the clinical result...

..Using the RIA technique, autogenous bone graft can be readily obtained without the need for additional incisions and dissection, thereby minimizing the need for additional sources of bone graft...

..Fixation stability is important to allow immediate postoperative weightbearing. A fusion rate of 91.1% was seen in a diversity of patients after first MTP fusion with immediate weightbearing...

..41 (range 0 to 10.71). The suture bridge technique is a viable option for Achilles tendon repair after surgical management of insertional Achilles tendinosis...

..At 11 months postoperative, the xenograft was removed and, thereafter, the wound healed uneventfully. At 6 months following removal of the xenograft, the patient displayed no evidence of allergy or Achilles tendon dysfunction...

..Radiographs currently are used to interpret the obliquity of the proximal first metatarsal but are subject to error. A 'normal' obliquity of the first metatarsal base has not yet been established...

..Use of a cannulated system simplifies the surgical procedure. Overall, this procedure offers decreased operative time and maximizes safety and accuracy with retrograde talar drilling...

..The technique is reproducible and has a low complication rate when performed correctly...

..0002). Twenty-five of 30 patients reported some degree of improvement, with 5 experiencing no change. These early results indicate ultrasound-guided ESWT may be a useful tool in the treatment armamentarium for chronic plantar fasciitis...

..Our technique describes FHL tendon transfer into the calcaneus to replace or supplement the Achilles tendon using a single posterior incision, a "short harvest" and interference screw fixation...

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..In this report, we describe 3 cases in which this method was used with satisfactory short-term results. LEVEL OF CLINICAL EVIDENCE: 4...

..Under radiographic review, there was no significant loss of calcaneal height, joint reduction, or fixation stability noted. These results are thought to be due to the inherent stability of the locked plate construct...

..The purpose of this case report is to demonstrate this unusual talar body fracture and the utility of this posterior osteotomy approach. Level of Evidence: 4...

..002). The intermetatarsal facet between the first and second metatarsals may have a role in an increased medial obliquity of the first metatarsal base and is present in approximately 30% of the population...

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..Also, their postoperative pain and function were acceptable. The implant used in the patients described in the present report appears to be a viable alternative for the treatment of hammertoe...

..The development and severity of the neuropathy varies. This article briefly reviews the types of diabetic neuropathy and their relationship to pain and discusses the proposed etiologies...

..This article presents a brief review of first-metatarsal osteotomies in the correction of hallux valgus or metatarsus primus varus and summarizes arguments for proximal osteotomy with soft tissue balancing...

..The technique that we describe in this article uses a less extensive harvest of the flexor digitorum longus tendon and a sound fixation method using an interference screw positioned in the tarsal navicular...

..This paper will help to demonstrate the advantages of INBONE II versus INBONE I Total Ankle System in management of arthrosis of the ankle joint. LEVEL OF EVIDENCE: Level V: Expert opinion...

..This information may aid the foot and ankle surgeon in patient selection and in attaining optimal surgical outcome for the Evans lateral column lengthening procedure...

..1 ± 2.0 (range 8 to 15) weeks. The interval to partial weightbearing was 5.5 ± 1.8 (range 3 to 12) weeks, to full weightbearing was 8.4 ± 1.9 (range 5 to 14) weeks, and to shoe wearing was 13.6 ± 3.0 (range 10 to 20) weeks...

..No complications were encountered. Two neuromas in 2 patients failed the sclerosing injection course: 1 ultimately responded to antiinflammatory use and the other underwent excision...

..With increased international travel, the foot and ankle surgeon should be aware of this parasitic infection in recent travelers to Central and South American countries. ACFAS Level of Clinical Evidence: 4...