Scholars@Duke
Cesar de Cesar Netto

Cesar de Cesar Netto

Associate Professor of Orthopaedic Surgery
Orthopaedic Surgery
cesar.netto@duke.edu
Box 104002, DUMC, Durham, NC 27710
311 Trent Drive, Durham, NC 27710
Office hours Monday to Friday from 8 AM to 5 PM  

Selected Publications

Advanced Three-Dimensional Assessment and Planning for Hallux Valgus.

Journal Article Foot Ankle Clin · June 2025 The article discusses advanced three-dimensional evaluation of hallux valgus deformity using weightbearing computed tomography. Conventional two-dimensional radiographs fall short in assessing the complexity of hallux valgus deformities, whereas weightbear ... Full text Link to item Cite

Semi-automated Segmentation and Distance Mapping of Weight Bearing CT Data to Estimate Select Midfoot Joint Volumes.

Journal Article Foot Ankle Int · June 2025 BACKGROUND: Injury to the Lisfranc complex can prove difficult to diagnose, particularly injuries that are purely ligamentous. Missed Lisfranc injuries can cause long-lasting consequences including accelerated midfoot arthritis and collapse. Previous studi ... Full text Link to item Cite

Foot Malalignment and Proximal Fifth Metatarsal Fractures.

Journal Article Foot Ankle Int · May 2025 BACKGROUND: Proximal fifth metatarsal fractures are common injuries that are classified into 3 zones according to their anatomical localization. While zone 1 and 2 fractures typically are traumatic, zone 3 fractures may be linked to foot alignment abnormal ... Full text Link to item Cite

Standardizing 3 Dimensional Measurements in Foot and Ankle Imaging: A Contemporary Review and Methodological Proposal.

Journal Article Foot Ankle Clin · March 2025 Increasing utilization of weight-bearing computed tomography and fluoroscopy has driven the need for standardization of 3 dimensional (3D) measurements in the foot and ankle. These emerging imaging modalities are currently used to evaluate foot and ankle c ... Full text Link to item Cite

A Comprehensive Weightbearing Computed Tomography Study on Patients With Hallux Valgus: Exploring Multiplanar Deformity Interrelationships.

Journal Article Foot Ankle Int · March 2025 BACKGROUND: Hallux valgus (HV) is a complex, multiplanar deformity. In this study, we examined the interrelationships between various components of this deformity using weightbearing computed tomography (WBCT). We hypothesized that the severity of traditio ... Full text Link to item Cite

Talar Morphology of Charcot-Marie-Tooth Patients With Cavovarus Feet.

Journal Article Foot Ankle Int · March 2025 BACKGROUND: Charcot-Marie-Tooth disease (CMT), a common inherited neurologic disorder, significantly impacts the morphology of foot bones, particularly the talus. The disease has been classified into types based on specific mutations, with the most common ... Full text Link to item Cite

Cadaveric Diagnostic Study of Subtle Syndesmotic Instability Using a 3-Dimensional Weight-Bearing CT Distance Mapping Algorithm.

Journal Article J Bone Joint Surg Am · February 19, 2025 BACKGROUND: The diagnosis of syndesmotic instability is challenging, and chronically unstable injuries can potentially lead to ankle arthritic degeneration. The objective of this cadaveric study was to utilize a 3-dimensional (3D) weight-bearing computed t ... Full text Link to item Cite

Coronal Plane Alignment of the Medial Column in Isolated Hallux Valgus, Isolated Flatfoot, and Combined Hallux Valgus-Flatfoot.

Journal Article Foot Ankle Int · February 2025 BACKGROUND: To provide improved treatment for hallux valgus (HV), we sought to understand more about the pathophysiologic connection between flatfoot deformity and HV by comparing coronal plane alignment of the medial column of the foot for patients with i ... Full text Link to item Cite

Correction of progressive collapsing foot deformity classes after isolated arthroscopic subtalar arthrodesis.

Journal Article Foot Ankle Surg · January 2025 INTRODUCTION: Subtalar osteoarthritis in the context of flatfoot (recently renamed Progressive Collapsing Foot Deformity (PCFD)) may be treated through subtalar joint (SJ) arthrodesis with anticipated consequences on three-dimensional bony configuration. T ... Full text Link to item Cite

Total ankle/total talus replacement - Retrospective comparison of surgeon decision relative to three-dimensional joint health assessment.

Journal Article J Foot Ankle Surg · 2025 Treatment of end-stage ankle conditions is a complex challenge in foot and ankle surgery. The talus is prone to issues such as osteoarthritis (OA) and avascular necrosis (AVN). Patient-specific total ankle and total talus replacement (TATTR) procedures hav ... Full text Link to item Cite

Comparative Analysis of Structural Differences in Progressive Collapsing Foot Deformity With and Without Hallux Valgus.

Journal Article Foot Ankle Int · January 2025 BACKGROUND: Progressive collapsing foot deformity (PCFD) and hallux valgus (HV) are complex 3-dimensional deformities of the foot. This study aimed to investigate structural and alignment differences between PCFD with and without HV using weightbearing com ... Full text Link to item Cite

Anatomical and Micro-CT Assessment of the First Metatarsal Head Vascularization and Soft Tissue Envelope Following Minimally Invasive Chevron Osteotomy for Hallux Valgus Deformity.

Journal Article Foot Ankle Int · January 2025 BACKGROUND: Minimally invasive surgical (MIS) chevron-type osteotomy for hallux valgus (HV) treatment offers a surgical alternative to open surgery with minimal surgical dissection and a hypothetical decreased risk for soft tissue complications. The object ... Full text Link to item Cite

Complications and Early-Term Radiographic Analysis of a Novel Active Compression Tibiotalocalcaneal Arthrodesis Nail With a Proximal Flexible Coil.

Journal Article Foot Ankle Orthop · January 2025 BACKGROUND: Tibiotalocalcaneal (TTC) arthrodesis is used among other methods as a salvage procedure for complex foot/ankle deformity. Fixation is usually achieved through plate/screw constructs or intramedullary (IM) nailing. Although IM nailing uses small ... Full text Link to item Cite

A Hallux Valgus Surgical Planning Survey Using WBCT-based 3D Printing.

Journal Article Foot Ankle Orthop · January 2025 BACKGROUND: Recent literature highlights the importance of treating hallux valgus (HV) as a 3-dimensional (3D) deformity. Although 3D printing may enhance visualization of the multiplanar aspects of HV, its influence on surgical planning remains unclear. T ... Full text Link to item Cite

Survey of Utilization of Weightbearing Computed Tomography Within AOFAS Membership.

Journal Article Foot Ankle Spec · December 14, 2024 BACKGROUND: Weightbearing computed tomography (WBCT) has been increasingly employed to evaluate and treat patients with varied pathologies such as progressive collapsing foot deformity (PCFD), posttraumatic deformity, hallux valgus, ankle arthritis, Charco ... Full text Link to item Cite

Biomechanical consequences of Zadek osteotomy in insertional achilles tendinopathy: A virtual surgical simulation study.

Journal Article Foot Ankle Surg · December 2024 BACKGROUND: The Zadek osteotomy modified by Taylor (ZO) is a surgical technique used to treat insertional Achilles tendinopathy (IAT) by reducing the heel's prominence and elevating the Achilles tendon insertion. This study aims to analyze the biomechanica ... Full text Link to item Cite

Ankle osteoarthritis: Toward new understanding and opportunities for prevention and intervention.

Journal Article J Orthop Res · December 2024 The ankle infrequently develops primary osteoarthritis (OA), especially when compared to the hip and the knee. Ankle OA instead generally develops only after trauma. The consequences of end-stage ankle OA can nonetheless be extremely debilitating, with imp ... Full text Link to item Cite

Influence of Tibial Component Design Features and Interference Fit on Implant-Bone Micromotion in Total Ankle Replacement: A Finite Element Study.

Journal Article Foot Ankle Int · December 2024 BACKGROUND: Implant survivorship in uncemented total ankle replacement (TAR) is dependent on achieving initial stability. This is because early micromotion between the implant and bone can disrupt the process of osseointegration, leading to poor long-term ... Full text Link to item Cite

Progressive First Metatarsal Shortening Is Observed Following Dermal Allograft Interpositional Arthroplasty in Hallux Rigidus: Short Report.

Journal Article Foot Ankle Int · December 2024 BACKGROUND: The main goal of this study was to evaluate postoperative changes in the length of the first metatarsal (M1) and the proximal phalanx of the hallux (P1) after acellular dermal allograft interpositional arthroplasty (ADA-IPA). We hypothesized th ... Full text Link to item Cite

Acquired Pes Planovalgus : Current Concepts - "From Adult Acquired Pes Planovalgus to Progressive Collapsing Foot Deformity".

Journal Article Rev Bras Ortop (Sao Paulo) · December 2024 The clinical disorder traditionally known as pes planovalgus due to posterior tibial tendon insufficiency or adult-acquired pes planovalgus has been the subject of several publications over the past two decades. Now, it is understood that the problem does ... Full text Link to item Cite

The role of computed tomography with external rotation and dorsiflexion in decision making for acute isolated non-displaced posterior malleolar fractures Bartoníček and Rammelt type II: a prospective study.

Journal Article Eur J Orthop Surg Traumatol · October 2024 PURPOSE: Our objective was to evaluate the syndesmotic and fracture instability using conventional ankle computed tomography (CT) with stress maneuvers. METHODS: A consecutive sample of 123 individuals with an ankle sprain was assessed for eligibility. In ... Full text Link to item Cite

Cone-Beam Weight-Bearing Computed Tomography of Ankle Arthritis and Total Ankle Arthroplasty.

Journal Article Clin Podiatr Med Surg · October 2024 Weight-bearing computed tomography has multiple advantages in evaluating the hindfoot and ankle. It can assess hindfoot and ankle alignment, pathology in ankle arthritis, and complications related to total ankle replacements. It is an essential tool in ank ... Full text Link to item Cite

Magnetic Resonance Imaging of Total Ankle Arthroplasty: State-of-The-Art Assessment of Implant-Related Pain and Dysfunction.

Journal Article Clin Podiatr Med Surg · October 2024 Total ankle arthroplasty (TAA) is an effective alternative for treating patients with end-stage ankle degeneration, improving mobility, and providing pain relief. Implant survivorship is constantly improving; however, complications occur. Many causes of pa ... Full text Link to item Cite

Multiaxial 3D MRI of the Ankle: Advanced High-Resolution Visualization of Ligaments, Tendons, and Articular Cartilage.

Journal Article Clin Podiatr Med Surg · October 2024 MRI is a valuable tool for diagnosing a broad spectrum of acute and chronic ankle disorders, including ligament tears, tendinopathy, and osteochondral lesions. Traditional two-dimensional (2D) MRI provides a high image signal and contrast of anatomic struc ... Full text Link to item Cite

Finite Element Analysis of the Influence that Bone Density and Implant Fixation Features have on Total Ankle Tibial Component Stability

Journal Article Foot and Ankle Orthopaedics · October 1, 2024 Background: Primary implant stability is important for successful outcomes after uncemented total ankle replacement (TAR). However, the influence of patient-specific bone density on TAR performance is poorly understood, especially for implants that rely on ... Full text Cite

Trends in the Use of Weightbearing Computed Tomography.

Journal Article J Clin Med · September 18, 2024 Background: This review aimed to critically appraise the most recent orthopedic literature around cone beam weightbearing computed tomography (WBCT), summarizing what evidence has been provided so far and identifying the main research trends in the area. M ... Full text Link to item Cite

Hindfoot Alignment in Flexible Cavovarus Deformity Under Orthostatic and Coleman Block Test Positions: A Weightbearing Computed Tomography Study.

Journal Article Foot Ankle Int · September 2024 BACKGROUND: Flexible cavovarus deformity is prevalent and the Coleman block test is frequently used to assess the first ray plantarflexion malpositioning in the overall deformity as well as the flexibility of the hindfoot. The objective was to assess and c ... Full text Link to item Cite

Quantification of First Metatarsal Joint Surface Interactions in Hallux Rigidus Using Distance and Coverage Mapping: A Case-Control Study.

Journal Article Foot Ankle Int · September 2024 BACKGROUND: Weightbearing cone-beam computed tomography (WBCT) has proven useful for analysis of structural changes of the foot and ankle when compared to conventional radiographs. WBCT allows for extraction of distance and coverage mapping metrics, which ... Full text Link to item Cite

Influence of sidewall retention and interference fit in total ankle replacement on implant-bone micromotion: A finite element study.

Journal Article J Orthop Res · July 2024 The success of uncemented total ankle replacement (TAR) is linked to initial stability because bony ingrowth depends upon limited early micromotion. Tibial implant design fixation features resist micromotion aided by bony sidewall retention and interferenc ... Full text Link to item Cite

Prevalence of midfoot arthritis and lesser toe deformities.

Journal Article Foot Ankle Surg · July 2024 BACKGROUND: The aim of this study was to investigate the epidemiology of Midfoot Arthritis (MA) and Lesser toe deformity (LTD) using Weight-Bearing Computed Tomography (WBCT). METHODS: 606 cases (247 male, 359 female) among 1316 consecutive cases with WBCT ... Full text Link to item Cite

Recent Innovations Brought about by Weight-Bearing CT Imaging in the Foot and Ankle: A Systematic Review of the Literature

Journal Article Applied Sciences Switzerland · July 1, 2024 The decade from 2010–2020 has seen the development of cone beam weight-bearing CT (WBCT) as a major innovation in the foot and ankle realm, becoming an important modality for bone and joint imaging. The ability to provide three-dimensional images of the na ... Full text Cite

Spontaneous Reduction in the Intermetatarsal Angle in Distal First Metatarsal Osteotomies with No Lateral Head Displacement in Hallux Valgus.

Journal Article Biomedicines · June 27, 2024 BACKGROUND: The outcomes of first metatarsal (M1) distal osteotomies in hallux valgus (HV) can be improved, especially for intermetatarsal angle (IMA) correction, which is mainly based on lateral displacement of the M1 head (i.e., translation) through the ... Full text Link to item Cite

Use of Weightbearing CT Imaging in Clinical Practice.

Journal Article Foot Ankle Spec · April 5, 2024 Full text Link to item Cite

The Role of the Transverse Arch in Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · January 2024 BACKGROUND: The transverse arch (TA) has recently been shown to significantly increase the intrinsic stiffness of the midfoot when coupled with the medial longitudinal arch (MLA). Progressive collapsing foot deformity (PCFD) is a complex deformity that ult ... Full text Link to item Cite

Normal Values for Distal Tibiofibular Syndesmotic Space With and Without Subject-Driven External Rotation Stress.

Journal Article Foot Ankle Int · January 2024 BACKGROUND: The diagnosis and treatment of distal tibiofibular syndesmosis (DTFS) injury can be challenging, especially in cases of subtle instability that may be masked on 2-dimensional conventional radiographs. Weightbearing computed tomography (WBCT) ha ... Full text Link to item Cite

Socioeconomic Status and Race Are Rarely Reported in Randomized Controlled Trials for Achilles Tendon Pathology in the Top 10 Orthopaedic Journals: A Systematic Review.

Journal Article Foot Ankle Orthop · January 2024 BACKGROUND: Randomized controlled trials (RCTs) are crucial in comparative research, and a careful approach to randomization methodology helps minimize bias. However, confounding variables like socioeconomic status (SES) and race are often underreported in ... Full text Link to item Cite

Risk Factors for Midfoot Arthritis Associated With Medical History by Weight Bearing Computed Tomography.

Journal Article J Foot Ankle Surg · 2024 Tarso-metatarsal joints and naviculocuneiform joints comprising midfoot is the second most commonly involved joints following the first metatarsophalangeal joint in the foot. However, related factors of midfoot arthritis (MA) have been rarely reported. The ... Full text Link to item Cite

PATHOPHYSIOLOGY OF POSTTRAUMATIC ANKLE OSTEOARTHRITIS: A MULTICENTER PERSPECTIVE.

Journal Article Acta Ortop Bras · 2024 UNLABELLED: Besides the acute injury and trauma-induced macroscopic alterations, the evolution to posttraumatic ankle osteoarthritis (PTOA) is a complex process progressing at the tissue and molecular level. Furthermore, changes in the molecular pathways a ... Full text Link to item Cite

Utilization of telemedicine for diagnosis and follow-up within foot and ankle orthopaedic surgery: A narrative review of the literature.

Journal Article Work · 2024 BACKGROUND: Telemedicine has seen increasing adoption in healthcare over the past two decades, with proven clinical efficacy in several medical specialties. Orthopedics surgery has shown potential benefits from telemedicine implementation. OBJECTIVE: This ... Full text Link to item Cite

Deformities Influencing Different Classes in Progressive Collapsing Foot.

Journal Article Iowa Orthop J · December 2023 BACKGROUND: The current classification system of progressive collapsing foot deformity (PCFD) is comprised of 5 possible classes. PCFD is understood to be a complex, three-dimensional deformity occurring in many regions along the foot and ankle. The questi ... Link to item Cite

Ankle Joint Bone Density Distribution Correlates with Overall 3-Dimensional Foot and Ankle Alignment.

Journal Article J Bone Joint Surg Am · November 15, 2023 BACKGROUND: Altered stress distribution in the lower limb may impact bone mineral density (BMD) in the ankle bones. The purpose of the present study was to evaluate the spatial distribution of BMD with use of weight-bearing cone-beam computed tomography (W ... Full text Link to item Cite

Effect of Peritalar Subluxation Correction for Progressive Collapsing Foot Deformity on Patient-Reported Outcomes.

Journal Article Foot Ankle Int · November 2023 BACKGROUND: Peritalar subluxation (PTS) is part of progressive collapsing foot deformity (PCFD). This study aimed to evaluate initial deformity correction and PTS optimization in PCFD patients with flexible hindfoot deformity undergoing hindfoot joint-spar ... Full text Link to item Cite

Relationship Between Obesity and Medial Longitudinal Arch Bowing.

Journal Article Foot Ankle Int · November 2023 BACKGROUND: There have been reports about the association between obesity and the medial longitudinal arch (MLA) of foot. The purpose of this study is to investigate the change of various parameters related to the MLA according to obesity classification se ... Full text Link to item Cite

The Cold Never Bothered Us Anyway

Journal Article Journal of the Foot & Ankle · October 31, 2023 Dear colleagues, Writing this editorial article for the Journal of Foot & Ankle is a great pleasure and honor. It is also fantastic to watch the growth of the Journal and its strength, influence, and respect among the International Orthopedic F ... Full text Cite

Weightbearing Computed Tomography vs Conventional Tomography for Examination of Varying Degrees of Lisfranc Injures: A Systematic Review of the Literature.

Journal Article Foot Ankle Orthop · October 2023 BACKGROUND: Lisfranc injuries, if not accurately diagnosed, can result in chronic pain and instability. Previous studies have examined ultrasonographs, radiographs, magnetic resonance imaging (MRI), and conventional computed tomography (CT) scan to differe ... Full text Link to item Cite

The Classic Three-Month Post-Operative Adaptation Phase in Foot and Ankle Surgery-An Expert Perspective.

Journal Article J Clin Med · September 26, 2023 Foot and ankle disorders are a common reason for orthopedic surgical intervention. After surgery, specific precautions such as partial weight bearing or complete unloading, and the use of walking aids, coupled with a period of rest, are usually implemented ... Full text Link to item Cite

Staged reconstruction of the hallux for infected non-union using bulk autograft and a customized implant: Case report.

Journal Article Foot (Edinb) · September 2023 This case report illustrates the outcome of a deep infection following internal fixation of a fracture of the big toe. Hallux amputation could be avoided through staged salvage procedure. This paper can assist readers on how to effectively and safely recog ... Full text Link to item Cite

Multiaxial 3D MRI of the Ankle: Advanced High-Resolution Visualization of Ligaments, Tendons, and Articular Cartilage.

Journal Article Foot Ankle Clin · September 2023 MRI is a valuable tool for diagnosing a broad spectrum of acute and chronic ankle disorders, including ligament tears, tendinopathy, and osteochondral lesions. Traditional two-dimensional (2D) MRI provides a high image signal and contrast of anatomic struc ... Full text Link to item Cite

Magnetic Resonance Imaging of Total Ankle Arthroplasty: State-of-The-Art Assessment of Implant-Related Pain and Dysfunction.

Journal Article Foot Ankle Clin · September 2023 Total ankle arthroplasty (TAA) is an effective alternative for treating patients with end-stage ankle degeneration, improving mobility, and providing pain relief. Implant survivorship is constantly improving; however, complications occur. Many causes of pa ... Full text Link to item Cite

Cone-Beam Weight-Bearing Computed Tomography of Ankle Arthritis and Total Ankle Arthroplasty.

Journal Article Foot Ankle Clin · September 2023 Weight-bearing computed tomography has multiple advantages in evaluating the hindfoot and ankle. It can assess hindfoot and ankle alignment, pathology in ankle arthritis, and complications related to total ankle replacements. It is an essential tool in ank ... Full text Link to item Cite

Implementing automated 3D measurements to quantify reference values and side-to-side differences in the ankle syndesmosis.

Journal Article Sci Rep · August 23, 2023 Detection of syndesmotic ankle instability remains challenging in clinical practice due to the limitations of two-dimensional (2D) measurements. The transition to automated three-dimensional (3D) measurement techniques is on the verge of a breakthrough but ... Full text Link to item Cite

Distribution, prevalence, and impact on the metatarsosesamoid complex of first metatarsal pronation in hallux valgus.

Journal Article Foot Ankle Surg · August 2023 BACKGROUND: Previous simulated weight-bearing CT (WBCT) studies classifying first metatarsal (M1) pronation suggested a high prevalence of M1 hyper-pronation in hallux valgus (HV). These findings have prompted a marked increase in M1 supination in HV surgi ... Full text Link to item Cite

Clinical and Kinematic Outcomes Based on Bone Graft Utilization for Salvage First Metatarsophalangeal Arthrodesis: A Systematic Review

Journal Article Applied Sciences Switzerland · August 1, 2023 Motion-preserving options for the treatment of first metatarsophalangeal (MTP) osteoarthritis are appealing, but the conversion to arthrodesis in failed cases comes with additional challenges. Loss of first ray length may not only lower arthrodesis success ... Full text Cite

Artificial intelligence and ChatGPT in Orthopaedics and sports medicine.

Journal Article J Exp Orthop · July 26, 2023 Artificial intelligence (AI) is looked upon nowadays as the potential major catalyst for the fourth industrial revolution. In the last decade, AI use in Orthopaedics increased approximately tenfold. Artificial intelligence helps with tracking activities, e ... Full text Link to item Cite

Reliability and validity of two-dimensional motion capture to assess ankle dorsiflexion motion and heel raise work.

Journal Article Phys Ther Sport · July 2023 OBJECTIVES: To determine the inter-rater reliability and criterion validity of two-dimensional (2D) measures of ankle function in the sagittal plane for participants with Achilles tendinopathy (AT). DESIGN: Cohort study. SETTING: University Laboratory, Par ... Full text Link to item Cite

Multidirectional Chronic Ankle Instability: What Is It?

Journal Article Foot Ankle Clin · June 2023 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 l ... Full text Link to item Cite

MRI in Acute Ankle Sprains: Should We Be More Aggressive with Indications?

Journal Article Foot Ankle Clin · June 2023 Acute ankle sprains are common sports injuries. MRI is the most accurate test for assessing the integrity and severity of ligament injuries in acute ankle sprains. However, MRI may not detect syndesmotic and hindfoot instability, and many ankle sprains are ... Full text Link to item Cite

Early results and complication rate of the LapiCotton procedure in the treatment of medial longitudinal arch collapse: a prospective cohort study.

Journal Article Arch Orthop Trauma Surg · May 2023 INTRODUCTION: Instability/collapse of the medial column has been associated with many conditions, particularly progressive collapsing foot deformity (PCFD), hallux valgus (HV), and midfoot arthritis (MA). Restoration of first ray length and sagittal plane ... Full text Open Access Link to item Cite

Distance mapping and volumetric assessment of the ankle and syndesmotic joints in progressive collapsing foot deformity.

Journal Article Sci Rep · March 23, 2023 The early effects of progressive collapsing foot deformity (PCFD) on the ankle and syndesmotic joints have not been three-dimensionally quantified. This case-control study focused on using weight bearing CT (WBCT) distance (DM) and coverage maps (CM) and v ... Full text Open Access Link to item Cite

Efficacy of Telehealth for Movement-Evoked Pain in People With Chronic Achilles Tendinopathy: A Noninferiority Analysis.

Journal Article Phys Ther · March 3, 2023 OBJECTIVE: The purpose of this study was to compare the efficacy of physical therapy delivered via an all telehealth or hybrid format with an all in-person format on movement-evoked pain for individuals with chronic Achilles tendinopathy (AT). METHODS: Six ... Full text Link to item Cite

Total Ankle Replacement: Biomechanics of the Designs, Clinical Outcomes, and Remaining Issues.

Journal Article Foot Ankle Clin · March 2023 The present review paper aimed at discussing the current major issues in total ankle replacement, both the technical and biomechanical concepts, and the surgical and clinical concerns. Designers shall target at the same time restoration of natural ankle ki ... Full text Link to item Cite

A comparison between the Bluman et al. and the progressive collapsing foot deformity classifications for flatfeet assessment.

Journal Article Arch Orthop Trauma Surg · March 2023 INTRODUCTION: Bluman et al., flatfoot classification is based on posterior tibial tendon (PTT) dysfunction leading to a chronological appearance of several foot deformities. An expert consensus recently proposed a new classification named Progressive Colla ... Full text Link to item Cite

Diagnostic Accuracy of Conventional Ankle CT Scan With External Rotation and Dorsiflexion in Patients With Acute Isolated Syndesmotic Instability.

Journal Article Am J Sports Med · March 2023 BACKGROUND: Syndesmotic injury in an athletic population is associated with a prolonged ankle disability after an ankle sprain and often requires a longer recovery than a lateral collateral ligament injury. Although several imaging tests are available, dia ... Full text Link to item Cite

Recurrence Rates With Longer-Term Follow-up After Hallux Valgus Surgical Treatment With Distal Metatarsal Osteotomies: A Systematic Review and Meta-analysis.

Journal Article Foot Ankle Int · March 2023 BACKGROUND: Recurrence of hallux valgus (HV) following corrective surgery is a frequent concern. A recent systematic review estimated recurrence of HV in only 4.9%, which may be an underestimation, as most included studies had short- to mid-term follow-up. ... Full text Link to item Cite

Foreword: Translational Research in Orthopedic Foot and Ankle Surgery.

Journal Article Foot and ankle clinics · March 2023 Full text Cite

Influence of Weightbearing Computed Tomography in the Progressive Collapsing Foot Deformity Classification System.

Journal Article Foot Ankle Int · February 2023 BACKGROUND: The objective of this study was to compare progressive collapsing foot deformity (PCFD) classifications performed using clinical and conventional radiographs (CR) with classifications established using clinical and weightbearing computed tomogr ... Full text Link to item Cite

Does metatarsus primus elevatus really exist in hallux rigidus? A weightbearing CT case-control study.

Journal Article Arch Orthop Trauma Surg · February 2023 BACKGROUND: Elevated first metatarsal, Metatarsus primus elevatus (MPE), has been a topic of controversy. Recent studies have supported a significantly elevated first metatarsal in hallux rigidus on weight-bearing radiographs (WBR). However, conventional r ... Full text Link to item Cite

Computed Tomography: State-of-the-Art Advancements in Musculoskeletal Imaging.

Journal Article Invest Radiol · January 1, 2023 Although musculoskeletal magnetic resonance imaging (MRI) plays a dominant role in characterizing abnormalities, novel computed tomography (CT) techniques have found an emerging niche in several scenarios such as trauma, gout, and the characterization of p ... Full text Link to item Cite

The effects of pain science education plus exercise on pain and function in chronic Achilles tendinopathy: a blinded, placebo-controlled, explanatory, randomized trial.

Journal Article Pain · January 1, 2023 Exercise is the standard of care for Achilles tendinopathy (AT), but 20% to 50% of patients continue to have pain following rehabilitation. The addition of pain science education (PSE) to an exercise program may enhance clinical outcomes, yet this has not ... Full text Link to item Cite

Prevalence and pattern of lateral impingements in the progressive collapsing foot deformity.

Journal Article Arch Orthop Trauma Surg · January 2023 INTRODUCTION: The prevalence of lateral bony impingements [i.e., Sinus Tarsi (STI), Talo-Fibular (TFI) and Calcaneo-Fibular (CFI)] and their association with Peritalar Subluxation (PTS) have not been clearly established for progressive collapsing foot defo ... Full text Link to item Cite

Decreased Peritalar Subluxation in Progressive Collapsing Foot Deformity with Ankle Valgus Tilting.

Journal Article JB JS Open Access · 2023 BACKGROUND: Middle facet subluxation (MFS) has been established as an early indicator of peritalar subluxation. However, when progressive collapsing foot deformity (PCFD) affects the ankle leading to a valgus talar tilt (Class E), structures and anatomic r ... Full text Link to item Cite

Three-dimensional assessment of hallux valgus correction using the Lapicotton technique

Journal Article Journal of the Foot & Ankle · December 20, 2022 Objective: The objective of the study was to assess the efficacy of the LapiCotton procedure on patients with hallux valgus (HV) combined with medial longitudinal arch collapse. Methods: Preoperative and postoperative weight-bearing computed tomogr ... Full text Cite

Foot and ankle offset in the setting of severe rotational foot and ankle deformities

Journal Article Journal of the Foot & Ankle · December 20, 2022 Objective: The goal of this paper was to evaluate the validity of foot and ankle offset (FAO) measurements in the setting of severe foot and ankle deformities. Methods: This study included 57 feet (36 patients) that had a history of severe cavovaru ... Full text Cite

Achilles tendon reconstruction using a biosynthetic graft: a case report

Journal Article Journal of the Foot & Ankle · December 20, 2022 A 56-year-old male was admitted to an outpatient clinic five months after feeling a snap in his right heel while walking in the yard. Clinical and imaging evaluation demonstrated a discontinuity of Achilles tendon (AT). The measured gap between the ... Full text Cite

Ankle syndesmotic instability assessment using a three-dimensional distance mapping algorithm: a cadaveric pilot WBCT study

Journal Article Journal of the Foot & Ankle · December 20, 2022 Objective: This cadaveric pilot study was to develop a weight bearing computed tomography (WBCT) three-dimensional (3D) distance mapping algorithm that would allow for detection of syndesmotic instability. Methods: Pilot study, two cadaveric specim ... Full text Cite

Evaluation of assumptions in foot and ankle biomechanical models.

Journal Article Clin Biomech (Bristol) · December 2022 BACKGROUND: A variety of biomechanical models have been used in studies of foot and ankle disorders. Assumptions about the element types, material properties, and loading and boundary conditions are inherent in every model. It was hypothesized that the cho ... Full text Link to item Cite

Coverage maps demonstrate 3D Chopart joint subluxation in weightbearing CT of progressive collapsing foot deformity.

Journal Article Sci Rep · November 12, 2022 A key element of the peritalar subluxation (PTS) seen in progressive collapsing foot deformity (PCFD) occurs through the transverse tarsal joint complex. However, the normal and pathological relations of these joints are not well understood. The objective ... Full text Open Access Link to item Cite

Flexor tenodesis procedure in the treatment of lesser toe deformities.

Journal Article Arch Orthop Trauma Surg · November 2022 In this technical report study, we describe the use of a flexor tenodesis procedure in the treatment of lesser toe deformities (LTD). Using a specific implant, both the flexor digitorum longus and brevis tendons are attached to the plantar aspect of the pr ... Full text Open Access Link to item Cite

Histoarchitecture of the fibrillary matrix of human fetal posterior tibial tendons.

Journal Article Sci Rep · October 26, 2022 Adult tendons are highly differentiated. In mature individuals, tendon healing after an injury occurs through fibrotic tissue formation. Understanding the intrinsic reparative properties of fetal tendons would help to understand the maturation tissue proce ... Full text Open Access Link to item Cite

Three-dimensional ankle, subtalar, and hindfoot alignment of the normal, weightbearing hindfoot, in bilateral posture.

Journal Article J Orthop Res · October 2022 The first goal of this study was to develop reliable three-dimensional definitions of alignment for the ankle, subtalar, and hindfoot joints. These alignments are based on three-dimensional morphological features derived from renderings of the bones obtain ... Full text Link to item Cite

Diagnostic accuracy of measurements in progressive collapsing foot deformity using weight bearing computed tomography: A matched case-control study.

Journal Article Foot Ankle Surg · October 2022 BACKGROUND: We aimed to investigate the diagnostic accuracy of known two-dimensional (2D) and three-dimensional (3D) measurements for Progressive Collapsing Foot Deformity (PCFD) in weight-bearing computed tomography (WBCT). We hypothesized that 3D biometr ... Full text Link to item Cite

Risks of injury in distal metatarsal minimally invasive osteotomy when comparing standard and modified techniques: A cadaveric study.

Journal Article Foot Ankle Surg · October 2022 BACKGROUND: The objectives of the study were to evaluate the structures at risk in distal metatarsal mini-invasive osteotomy (DMMO) and to compare standard and intraosseous approaches. METHODS: DMMO was performed on the second and fourth metatarsals of 11 ... Full text Link to item Cite

Does tibialis posterior dysfunction correlate with a worse radiographic overall alignment in progressive collapsing foot deformity? A retrospective study.

Journal Article Foot Ankle Surg · October 2022 BACKGROUND: Posterior Tibial Tendon (PTT) dysfunction is considered to have an important role in Progressive Collapsing Foot Deformity (PCFD). The objective of our study was to assess the relationship between PTT status and three-dimensional foot deformity ... Full text Link to item Cite

Minimally Invasive Chevron-Akin for Correction of Moderate and Severe Hallux Valgus Deformities: Clinical and Radiologic Outcomes With a Minimum 2-Year Follow-up.

Journal Article Foot Ankle Int · October 2022 BACKGROUND: The minimally invasive chevron-Akin (MICA) technique has already demonstrated efficacy compared with other known surgical treatments for mild to moderate hallux valgus (HV). MICA combines percutaneous osteotomies with the benefits of modern, ri ... Full text Link to item Cite

The Use of Advanced Semiautomated Bone Segmentation in Hallux Rigidus.

Journal Article Foot Ankle Orthop · October 2022 BACKGROUND: Weightbearing computed tomography (WBCT) measurements allow evaluation of several anatomical points for a correct clinical-radiographic diagnosis of pathologies, such as hallux rigidus (HR). In addition, a new semiautomatic segmentation softwar ... Full text Open Access Link to item Cite

The use of three-dimensional biometric Foot and Ankle Offset to predict additional realignment procedures in total ankle replacement.

Journal Article Foot Ankle Surg · October 2022 BACKGROUND: Decision to perform associated corrective alignment procedures in patients undergoing total ankle replacement (TAR) is commonly made intraoperatively. The Foot and Ankle Offset (FAO) can evaluate multiplanar deformity and be an effective instru ... Full text Link to item Cite

Impact of First Metatarsal Hyperpronation on First Ray Alignment: A Study in Cadavers.

Journal Article Clin Orthop Relat Res · October 1, 2022 BACKGROUND: There is increased evidence of first metatarsal hyperpronation in patients with hallux valgus, but its impact on the stability of the first metatarsophalangeal and metatarsosesamoid joints is unknown. A previous biomechanical study showed that ... Full text Link to item Cite

Shooting Star: A Tribute to Alexej Barg.

Journal Article Foot Ankle Clin · September 2022 Full text Link to item Cite

A Case-Control Study of 3D vs 2D Weightbearing CT Measurements of the M1-M2 Intermetatarsal Angle in Hallux Valgus.

Journal Article Foot Ankle Int · August 2022 BACKGROUND: Weightbearing computed tomography (WBCT) 3-dimensional measurements may be reliable in assessing hallux valgus (HV). The objective of this study was to compare 2D and 3D WBCT measurements of the M1-M2 intermetatarsal angle (IMA) in patients wit ... Full text Link to item Cite

Progressive Collapsing Flatfoot Deformity.

Journal Article Foot Ankle Spec · August 2022 Full text Link to item Cite

Coronal Plane Rotation of the Medial Column in Hallux Valgus: A Retrospective Case-Control Study.

Journal Article Foot Ankle Int · August 2022 BACKGROUND: We previously reported an increase in pronation of the first metatarsal (M1) head relative to the ground in hallux valgus (HV) patients compared to controls. Still, the origin and location of this hyperpronation along the medial column is unkno ... Full text Link to item Cite

Weightbearing CT assessment of foot and ankle joints in Pes Planovalgus using distance mapping.

Journal Article Foot Ankle Surg · August 2022 INTRODUCTION: The goal of this study was to describe the abnormal joint surface interaction at the ankle, hindfoot and midfoot joints in patients presenting with Pes Planovalgus (PPV) using three-dimensional (3D) distance mapping on weightbearing computed ... Full text Link to item Cite

Knee Kinetics and Kinematics in Patients With Ankle Arthroplasty and Ankle Arthrodesis.

Journal Article HSS J · August 2022 Background: Previous literature suggests that patients treated with total ankle arthroplasty (TAA) versus ankle arthrodesis (AA) may have better function and lower risk for adjacent joint arthritis in the foot. Little is known on how these interventions af ... Full text Link to item Cite

Ankle osteoarthritis: comprehensive review and treatment algorithm proposal.

Journal Article EFORT Open Rev · July 5, 2022 Ankle osteoarthritis (OA) is much less frequent than knee or hip OA, but it can be equally disabling, greatly affecting the quality of life of the patients. Approximately 80% of ankle OA is post-traumatic, mainly secondary to malleolar fractures, being ano ... Full text Open Access Link to item Cite

An Objective Computational Method to Quantify Ankle Osteoarthritis From Low-Dose Weightbearing Computed Tomography.

Journal Article Foot Ankle Orthop · July 2022 BACKGROUND: The treatment of ankle osteoarthritis (OA) varies depending on the severity and distribution of the associated joint degeneration. Disease staging is typically based on subjective grading of appearance on conventional plain radiographs, with re ... Full text Open Access Link to item Cite

Kinematic Tibiofibular Syndesmotic Measurements as Indicators of Tibiotalar Osteoarthritis: Exploratory Analysis Using 4-Dimensional Computed Tomography.

Journal Article J Comput Assist Tomogr · July 2022 OBJECTIVE: The aim of this study was to evaluate the association between 4-dimensional computed tomography (4DCT)-derived measurements of tibiofibular syndesmosis during active dorsiflexion-plantarflexion motion and the presence of tibiotalar osteoarthriti ... Full text Link to item Cite

Imaging of progressive collapsing foot deformity with emphasis on the role of weightbearing cone beam CT.

Journal Article Skeletal Radiol · June 2022 The term progressive collapsing foot deformity (PCFD) is currently recommended as the replacement to adult-acquired flatfoot deformity and posterior tibial tendon dysfunction to better reflect its pathology, which consists of a complex three-dimensional de ... Full text Link to item Cite

Comparison between Weightbearing-CT semiautomatic and manual measurements in Hallux Valgus.

Journal Article Foot Ankle Surg · June 2022 BACKGROUND: Radiographic measurements are an essential tool to determine the appropriate surgical treatment and outcome for Hallux Valgus (HV). HV deformity is best evaluated by weight-bearing computed tomography (WBCT). The objective was (1) to assess the ... Full text Link to item Cite

Failed Surgery for Achilles Tendinopathy.

Journal Article Foot Ankle Clin · June 2022 Treatments of Achilles tendinopathy continue to evolve. The body of literature is inadequate to provide a comprehensive guide to evaluation and treat failed surgeries. Issues related to failed surgical treatment may be divided into infection/wound issue, m ... Full text Link to item Cite

Diagnostic Accuracy of the Progressive Collapsing Foot Deformity (PCFD) Classification.

Journal Article Foot Ankle Int · June 2022 BACKGROUND: A consensus group recently proposed the term progressive collapsing foot deformity (PCFD) and a new classification with 2 stages plus 5 classes to describe the complex array of flatfoot deformities. This study aimed to validate different diagno ... Full text Link to item Cite

Correlation of first metatarsal sagittal alignment with clinical and functional outcomes following the Lapidus procedure.

Journal Article Foot Ankle Surg · June 2022 BACKGROUND: The purpose of this study was to evaluate the effect of the variation of the first metatarsal (M1) sagittal alignment after the Lapidus procedure (LP) on clinical and functional outcomes, and transfer metatarsalgia. METHODS: Twenty-nine patient ... Full text Link to item Cite

Weight-bearing CT Hounsfield unit algorithm assessment of calcaneal osteotomy healing. A prospective study comparing metallic and bio-integrative screws

Journal Article Journal of the Foot & Ankle · April 30, 2022 Objective: To investigate the capability of biointegrative screws to achieve similar radiographical healing outcomes to metallic screws, measured using Hounsfield Unit (HU) algorithms, in medial displacement calcaneus osteotomies (MDCO). Our main h ... Full text Cite

Agreement between semiautomatic and manual measurement of selected parameters on weight-bearing computed tomography images in total ankle replacement: a retrospective study

Journal Article Journal of the Foot & Ankle · April 30, 2022 Objective: To assess the agreement between semiautomatic 3D measurements and manual measurements derived from WBCT images in patients with end-stage ankle osteoarthritis (AO) who underwent total ankle replacement (TAR). Methods: In this retrospecti ... Full text Cite

Automated three-dimensional distance and coverage mapping of hallux valgus: a case-control study

Journal Article Journal of the Foot & Ankle · April 30, 2022 Objective: To develop distance-mapping and coverage-mapping algorithms to assess metatarsophalangeal and metatarsal-sesamoid joint interaction in hallux valgus patients, comparing them to a control group. Methods: A total of 9 hallux valgus patient ... Full text Cite

Intra- and Interobserver Reliability of the New Classification System of Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · April 2022 BACKGROUND: Historical concept of flatfoot as posterior tibial tendon dysfunction (PTTD) has been questioned. Recently, the consensus group published a new classification system and recommended renaming PTTD to Progressive Collapsing Foot Deformity (PCFD). ... Full text Link to item Cite

Distal Metatarsal Articular Angle in Hallux Valgus Deformity. Fact or Fiction? A 3-Dimensional Weightbearing CT Assessment.

Journal Article Foot Ankle Int · April 2022 BACKGROUND: The Distal Metatarsal Articular Angle (DMAA) was previously described as an increase in valgus deformity of the distal articular surface of the first metatarsal (M1) in hallux valgus (HV). Several studies have reported poor reliability of this ... Full text Link to item Cite

Let's Get to Work!

Journal Article Foot Ankle Clin · March 2022 Full text Link to item Cite

The Assessment of Ankle Osteoarthritis with Weight-Bearing Computed Tomography.

Journal Article Foot Ankle Clin · March 2022 The standard for diagnostic radiographic imaging in foot and ankle surgery was until 2012 radiographs with full weight-bearing without any useful alternative. Weight-bearing cone-beam computed tomography (WBCT) was introduced 2012 for foot and ankle use as ... Full text Link to item Cite

Multiplanar instability of the first tarsometatarsal joint in hallux valgus and hallux rigidus patients: a case-control study.

Journal Article Int Orthop · February 2022 BACKGROUND: Hypermobility of the first ray has been considered associated with various forefoot diseases including hallux valgus (HV) and hallux rigidus (HR). Weightbearing CT scan can be a reliable method for analysis of the first tarsometatarsal (TMT) jo ... Full text Link to item Cite

Reconstruction of a missing or insufficient distal fibula in the setting of a total ankle replacement: The Milanese technique.

Journal Article Foot Ankle Surg · February 2022 BACKGROUND: The presence of an intact distal fibula is reported as a prerequisite when considering total ankle replacement and its lack is usually considered a contraindication. The purpose of the study was to describe the results of a surgical technique t ... Full text Link to item Cite

Deformity Correction in Ankle Osteoarthritis Using a Lateral Trans-Fibular Total Ankle Replacement: A Weight-Bearing CT Assessment.

Journal Article Iowa Orthop J · 2022 BACKGROUND: Ankle osteoarthritis (AO) is often secondary to prior trauma and frequently presents with joint deformity. Total ankle replacement (TAR) has been shown as a viable surgical option to reduce pain, improve function, and preserve ankle joint range ... Link to item Cite

Association Between Middle Facet Subluxation and Foot and Ankle Offset in Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · January 2022 BACKGROUND: Subtalar middle facet (MF) subluxation was recognized as a reliable marker for progressive collapsing foot deformity (PCFD) diagnosis. Foot and Ankle Offset (FAO) is an established measurement, predictive of malalignment severity. The objective ... Full text Link to item Cite

Implant Related Artifact Around Metallic and Bio-Integrative Screws: A CT Scan 3D Hounsfield Unit Assessment

Journal Article Foot & ankle orthopaedics · January 2022 Category: Basic Sciences/Biologics; Hindfoot Introduction/Purpose: Implant-related artifact (IRA) represents an important limitation in Computed Tomography (CT) assessment of osteotomy and fracture healing, bone-implant integration, and s ... Cite

Surgical Correction of Peritalar Subluxation and Patient Reported Outcomes: A Prospective Comparative Outcome Study in Flexible Progressive Collapsing Foot Deformity

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Hindfoot; Other Introduction/Purpose: Peritalar subluxation (PTS) of the hindfoot is a critical finding in Progressive Collapsing Foot Deformity (PCFD). Subluxation of the middle facet and sinus tarsi impingement have rec ... Cite

Influence of Weight-Bearing Computed Tomography in the New Staging System of Progressive Collapsing Foot Deformity Classification

Journal Article Foot & ankle orthopaedics · January 2022 Category: Hindfoot; Midfoot/Forefoot Introduction/Purpose: The same Consensus that proposed a new nomenclature for Flatfoot, Progressive Collapsing Foot Deformity (PCFD), also introduced a new classification system for the disease. The id ... Cite

Short-Term Outcomes of the Lapicotton Technique in the Treatment of Progressive Collapsing Foot Deformity

Journal Article Foot & ankle orthopaedics · January 2022 Category: Midfoot/Forefoot Introduction/Purpose: Medial column instability (MCI) in Progressive Collapsing Foot Deformity (PCFD) is not solely determined by forefoot varus (FV). First ray hypermobility, hallux valgus, midfoot arthritis, g ... Cite

Defining Normal Values for Distal Tibiofibular Syndesmotic Space with and without External Rotation Stress: A Prospective Study with Volunteer Controls

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Sports Introduction/Purpose: The diagnosis and treatment of distal tibiofibular syndesmosis (DTFS) injury can be challenging, especially in cases of subtle instability that may be masked on two-dimensional conventional ra ... Cite

Intra and Inter-Observer Reliability of the New Classification System of Progressive Collapsing Foot Deformity

Journal Article Foot & ankle orthopaedics · January 2022 Category: Basic Sciences/Biologics; Hindfoot; Midfoot/Forefoot Introduction/Purpose: Over the past three decades, the historical notion that adult acquired flatfoot was attributed to posterior tibial tendon dysfunction (PTTD) has been que ... Cite

Distribution of Bone Mineral Density in the Ankle Joint: Correlation with Hindfoot Alignment

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Basic Sciences/Biologics; Hindfoot Introduction/Purpose: Abnormal Hindfoot Alignment (HA) has been correlated with increased failure rates in ankle fusion or replacement for osteoarthritis (OA). An altered stress distribu ... Cite

What are the Injures that Lead to Post-Traumatic Ankle Osteoarthritis? A Long-Term Retrospective Analysis of 533 Patients

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Ankle Arthritis Introduction/Purpose: Ankle osteoarthritis (AO) is an incapacitating condition for patients and an important burden for medical assistance. It is well known that the vast majority of AO occurs as a sequela ... Cite

Weightbearing CT Analysis of Hallux Rigidus: Does Metatarsus Primus Elevatus Really Exist?

Journal Article Foot & ankle orthopaedics · January 2022 Category: Midfoot/Forefoot Introduction/Purpose: The etiology of hallux rigidus has been unknown. Metatarsus primus elevates (MPE), elevated first metatarsal has been controversial. Recent studies have supported significantly elevated fir ... Cite

Mid-Term Results after Lateral Transfibular Approach Total Ankle Arthroplasty

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle Arthritis; Ankle Introduction/Purpose: Continued improvements in total ankle arthroplasty (TAA) implant design have led to promising clinical outcomes. The lateral transfibular approach TAA allows for excellent visualizati ... Cite

Radiographic Indirect Parameters for First Metatarsal Rotation do not Correspond to Real Measurements in Hallux Valgus

Journal Article Foot & ankle orthopaedics · January 2022 Category: Midfoot/Forefoot; Bunion Introduction/Purpose: Subjective radiographic findings are commonly used in Hallux Valgus (HV) to dictate deformity aspects and surgical treatment. Head roundness, distal metatarsal metaphyseal angle (DM ... Cite

Weightbearing CT Assessment of Foot and Ankle Joints in Pes Planovalgus Using Distance Mapping

Journal Article Foot & ankle orthopaedics · January 2022 Category: Hindfoot; Ankle; Other Introduction/Purpose: The goal of this study was to describe the abnormal joint surface interaction at the ankle, hindfoot and midfoot joints in patients presenting with Pes Planovalgus (PP) using three-di ... Cite

Predictors of Deformity in Patients with Progressive Collapsing Foot Deformity and Valgus of the Ankle

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Hindfoot Introduction/Purpose: Markers of diagnosis and severity are well studied in patients with Progressive Collapsing Foot Deformity (PCFD). Medial facet subluxation (MFS) in weight-bearing computerized tomography (WB ... Cite

Three-Dimensional Distance and Coverage Maps in the Assessment of Peritalar Subluxation in Progressive Collapsing Foot Deformity

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Basic Sciences/Biologics; Hindfoot; Other Introduction/Purpose: Progressive collapsing foot deformity (PCFD), formerly termed Adult-Acquired Flatfoot Deformity (AAFD), is a complex 3-dimensional (3D) deformity characteriz ... Cite

Three-Dimensional Distance Maps of Ankle and Syndesmotic Joints from Weightbearing CT in Progressive Collapsing Foot Deformity: A Retrospective Case-Control Study

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle Introduction/Purpose: Recently, weightbearing computed tomography (WBCT) has been utilized to provide more comprehensive and accurate assessment of complex foot and ankle deformities, notably to diagnose and stage Progress ... Cite

Diagnostic Accuracy of Weightbearing CT in Detecting Subtle Chronic Syndesmotic Instability: A Prospective Comparative Study

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Arthroscopy; Sports; Trauma Introduction/Purpose: Improving the diagnosis of subtle syndesmotic instability (SSI) represents one of the most challenging missions in orthopedic surgery, since undiagnosed instability freque ... Cite

A Comparison Between the Bluman et al. Classification and the Progressive Collapsing Foot Deformity Consensus for Flatfeet Assessment

Journal Article Foot & ankle orthopaedics · January 2022 Category: Hindfoot; Midfoot/Forefoot Introduction/Purpose: Bluman et al. flatfoot classification (2007) is based on the posterior tibial tendon (PTT) rupture leading to a chronological appearance of several foot deformities. Since then, s ... Cite

Correlation of First Metatarsal Sagittal Alignment with Clinical and Functional Outcomes Following the Lapidus Procedure

Journal Article Foot & ankle orthopaedics · January 2022 Category: Bunion; Midfoot/Forefoot Introduction/Purpose: Lapidus procedure (LP) for hallux valgus (HV) requires an adequate control of first metatarsal (M1) sagittal alignment to avoid dorsiflexion. Otherwise, clinical and functional impa ... Cite

Peritalar Subluxation: A Key Finding for Both Cavovarus and Flatfoot Deformities

Journal Article Foot & ankle orthopaedics · January 2022 Category: Hindfoot; Midfoot/Forefoot Introduction/Purpose: Peritalar subluxation in both the talonavicular and subtalar joints has been described as characteristic markers for adult acquired flatfoot deformity (AAFD). However, no study ha ... Cite

Biomechanics of Ankle Sprains: A 3D Dynamic Analysis of Lateral Tensile Load

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Sports Introduction/Purpose: Lateral ankle sprains are the most frequent ankle trauma and may lead to chronic lateral ankle instability (CLAI). Studies have reported anterior talofibular (ATFL) and calcaneofibular (CFL) l ... Cite

Middle Facet Subluxation Correlation with Foot and Ankle Offset in the Assessment of Progressive Collapsing Foot Deformity

Journal Article Foot & ankle orthopaedics · January 2022 Category: Other; Hindfoot; Midfoot/Forefoot Introduction/Purpose: Identifying markers of severity and progression in Progressive Collapsing Foot Deformity (PCFD) provides surgeons with critical information, possibly aiding in the decision ... Cite

Hindfoot Varus Deformity: An Essential but Easily Neglected Pathological Change in Müller-Weiss Disease

Journal Article Foot & ankle orthopaedics · January 2022 Category: Hindfoot; Midfoot/Forefoot; Other Introduction/Purpose: The key pathology of Müller-Weiss Disease (MWD) is fragmentation of the lateral pole of the navicular which leads to lateral rotation of the talar head, inversion of the su ... Cite

Does Distal Metatarsal Articular Angle Reflect A Real Joint Deformity in Hallux Valgus?

Journal Article Foot & ankle orthopaedics · January 2022 Category: Bunion; Midfoot/Forefoot Introduction/Purpose: The Distal Metatarsal Articular Angle (DMAA) has long been described as a valgus increase of the distal articular surface of the first metatarsal in Hallux Valgus (HV) deformity. Si ... Cite

Characterization of Motor Performance in 200 Normal Ankles Through Isokinetic Evaluation

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Sports Introduction/Purpose: The isokinetic test has been used diffusely as a way to evaluate the functional results after the rehabilitation of musculoskeletal injuries. In the ankle, in particular, most studies are rela ... Cite

Standardization of the Foot Sagittal Axis for Measurement of Hindfoot Alignment Using Weight- Bearing Computed Tomography (WBCT)

Journal Article Foot & ankle orthopaedics · January 2022 Category: Hindfoot; Other Introduction/Purpose: The radiographic measurement of hindfoot alignment (HA) suggested by Saltzman, worldwide accepted, uses the medial aspect of the foot as the sagittal axis. When defining the medial face of t ... Cite

Prevalence and Pattern of Lateral Impingements in the Progressive Collapsing Foot Deformity

Journal Article Foot & ankle orthopaedics · January 2022 Category: Hindfoot; Midfoot/Forefoot Introduction/Purpose: Lateral impingements, subdivided into Sinus Tarsi (STI), Talo-Fibular (TFI), and Calcaneo-Fibular (CFI) impingements, appear to be associated with the Peritalar Subluxation (PTS) ... Cite

Comparative Assessment of Hallux Rigidus using Conventional Radiograph and Weightbearing CT

Journal Article Foot & ankle orthopaedics · January 2022 Category: Midfoot/Forefoot Introduction/Purpose: The etiology of hallux rigidus (HR) is not well understood and Its association with first-ray hypermobility, hallux valgus and metatarsus primus elevatus (MPE) has not been clearly proven. ... Cite

Validation and Reliability of the Progressive Collapsing Foot Deformity (PCFD) Classification

Journal Article Foot & ankle orthopaedics · January 2022 Category: Midfoot/Forefoot; Other Introduction/Purpose: Recently, a group of experts proposed Progressive Collapsing Foot Deformity (PCFD) as a new terminology to describe better the complexity of this pathology, as well as a new staging ... Cite

Weightbearing Computed Tomography for Assessment of Foot and Ankle Deformities: The Iowa Experience

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Ankle Arthritis; Other Introduction/Purpose: Weightbearing computed tomography (WBCT) is a reliable and precise modality for the measurement and analysis of bone position in the foot and ankle, as well as associated defor ... Cite

Medium to Long-Term Results of Combined Deltoid and Foot Reconstruction for PCFD (Stage IV) Valgus Ankle

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Hindfoot; Other Introduction/Purpose: There is limited documentation of the results of the treatment of advanced progressive collapsing deformity with talar tilt. No article to our knowledge with pre-and post-operative an ... Cite

Three-Dimensional Coverage Maps in the Assessment of Chopart Subluxation in Progressive Collapsing Foot Deformity

Journal Article Foot & ankle orthopaedics · January 2022 Category: Basic Sciences/Biologics; Hindfoot; Midfoot/Forefoot Introduction/Purpose: Progressive collapsing foot deformity (PCFD), formerly termed Adult-Acquired Flatfoot Deformity (AAFD), is a complex 3D deformity characterized by perita ... Cite

Comparison Between Cotton Test and Tap Test for the Assessment of Coronal Syndesmotic Instability: A Cadaveric Study

Journal Article Foot & ankle orthopaedics · January 2022 Category: Ankle; Basic Sciences/Biologics; Sports; Trauma Introduction/Purpose: Diagnosis of subtle instability of the distal tibiofibular syndesmosis is challenging. In surgically treated rotational malleolar fractures, instability is ty ... Cite

Weight-bearing Computed Tomography of the Foot and Ankle

Chapter · January 1, 2022 Cone beam computed tomography (CT) was introduced in the 1990s, and it was initially utilized in the dental arena. However, since 2011, these machines have been used in the foot and ankle orthopedic setting. Several studies have demonstrated how cone beam ... Full text Cite

Hallux valgus measurements using weight-bearing computed tomography: what changes?

Journal Article Journal of the Foot & Ankle · December 20, 2021 Objective: To assess whether traditional hallux valgus (HV) measurements obtained with conventional radiography (CR) correspond to those obtained with weight-bearing computed tomography (WBCT). Methods: In this retrospective case-control study, 26 ... Full text Cite

Reliability of coronal plane rotation measurements in the medial column of the foot: a cadaveric study

Journal Article Journal of the Foot & Ankle · December 20, 2021 Objective: To assess interobserver reliability of previously described coronal plane rotation measurements of medial column bones and to assess their ability to accurately quantify changes in rotational profile. Methods: Two cadaveric below-knee sp ... Full text Cite

Getting My Feet Wet!

Journal Article Foot Ankle Clin · December 2021 Full text Link to item Cite

Correlation between indirect radiographic parameters of first metatarsal rotation in hallux valgus and values on weight-bearing computed tomography.

Journal Article Int Orthop · December 2021 PURPOSE: To verify if indirect radiographic signs of first metatarsal pronation, determined by the head round sign, correspond to weight-bearing computed tomography (WBCT) measurements. METHODS: In this case-control retrospective study, we analyzed 26 hall ... Full text Link to item Cite

Combined weightbearing CT and MRI assessment of flexible progressive collapsing foot deformity.

Journal Article Foot Ankle Surg · December 2021 BACKGROUND: The objective of this study was to evaluate the correlation between Weightbearing CT (WBCT) markers of pronounced peritalar subluxation (PTS) and MRI findings of soft tissue insufficiency in patients with flexible Progressive Collapsing Foot De ... Full text Link to item Cite

Ankle Osteoarthritis.

Journal Article Rev Bras Ortop (Sao Paulo) · December 2021 Osteoarthritis (OA) is characterized by a chronic, progressive and irreversible degradation of the joint surface associated with joint inflammation. The main etiology of ankle OA is post-traumatic and its prevalence is higher among young and obese people. ... Full text Open Access Link to item Cite

Radiographic Outcomes of Cotton Osteotomy in Treatment of Adult-Acquired Flatfoot Deformity.

Journal Article Foot Ankle Int · November 2021 BACKGROUND: We investigated the long-term radiographic outcomes of the Cotton osteotomy performed at our institution by the 2 senior authors in conjunction with other reconstruction procedures to correct adult-acquired flatfoot deformity (AAFD). METHODS: W ... Full text Link to item Cite

Evaluation of a Weightbearing CT Artificial Intelligence-Based Automatic Measurement for the M1-M2 Intermetatarsal Angle in Hallux Valgus.

Journal Article Foot Ankle Int · November 2021 BACKGROUND: Weightbearing cone beam computed tomography (WBCT) has been gaining traction as a useful imaging modality in the diagnosis and follow-up of foot and ankle musculoskeletal pathologies due to the ability to perform quick, low-dose, 3-dimensional ... Full text Link to item Cite

Using area and volume measurement via weightbearing CT to detect Lisfranc instability.

Journal Article J Orthop Res · November 2021 Weightbearing CT (WBCT) allows evaluation of the Lisfranc joint under physiologic load. We compared the diagnostic sensitivities of one-dimensional (1D) distance, two-dimensional (2D) area, and three-dimensional (3D) volumetric measurement of the injured L ... Full text Link to item Cite

Outcomes of iliac crest bone marrow aspirate injection for the treatment of recalcitrant Achilles tendinopathy.

Journal Article Int Orthop · September 2021 BACKGROUND: Achilles tendinopathy is a common cause of posterior ankle and heel pain in both active and sedentary patients. Though the majority of patients respond to first-line non-operative management including activity modification, immobilization, orth ... Full text Link to item Cite

Is Advanced Imaging a Must in the Assessment of Progressive Collapsing Foot Deformity?

Journal Article Foot Ankle Clin · September 2021 Advanced imaging modalities have, in very recent years, enabled a considerable leap in understanding progressive collapsing foot deformity, evolving from a simple confirmation of clinical diagnostic using basic measurements to minute understanding of soft ... Full text Link to item Cite

Partial plantar fasciectomy for the treatment of plantar fibromatosis

Journal Article Journal of the Foot & Ankle · August 31, 2021 Objective: We describe a series of patients treated with resection of the affected band. We assessed functional outcome, recurrence  rate, and surgical wound complications, comparing these data with the available literature. Methods: This retrospec ... Full text Cite

Distal fibular periosteal flap for superior peroneal retinaculum reconstruction

Journal Article Journal of the Foot & Ankle · August 31, 2021 Peroneal tendon instability is a common injury that occurs in physically active individuals, often as a result of trauma and in the context of an anatomically shallow distal fibular groove. Subluxation of these tendons over the lateral malleolus is ... Full text Cite

Comparison between cotton test and tap test for the assessment of coronal syndesmotic instability: A cadaveric study.

Journal Article Injury · July 2021 INTRODUCTION: In surgically treated rotational malleolar fractures, residual syndesmotic instability is typically assessed following fixation with the widely used intraoperative Cotton test. However, due to its dynamic nature, there are inconsistencies of ... Full text Link to item Cite

State of the Art in Treatment of Chronic Medial Ankle Instability.

Journal Article Foot Ankle Clin · June 2021 Chronic deltoid instability (CDI), or medial ankle instability, can happen following traumas of the foot and ankle, predominantly rotational injuries. CDI is frequently underdiagnosed or misdiagnosed. Long-term residual instability can lead to ankle posttr ... Full text Link to item Cite

Three-Dimensional Distance and Coverage Maps in the Assessment of Peritalar Subluxation in Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · June 2021 BACKGROUND: Progressive collapsing foot deformity (PCFD), formerly termed adult-acquired flatfoot deformity, is a complex 3-dimensional (3D) deformity of the foot characterized by peritalar subluxation (PTS). PTS is typically measured at the posterior face ... Full text Link to item Cite

Distal Tibiofibular Syndesmotic Widening in Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · June 2021 BACKGROUND: Lateral overload in progressive collapsing foot deformity (PCFD) takes place as hindfoot valgus, peritalar subluxation, and valgus instability of the ankle increase. Fibular strain due to chronic lateral impingement may lead to distraction forc ... Full text Link to item Cite

Distance mapping of the foot and ankle joints using weightbearing CT: The cavovarus configuration.

Journal Article Foot Ankle Surg · June 2021 INTRODUCTION: The goal of this study was to characterize the abnormal joint surface interaction at the ankle, hindfoot and midfoot joints of the cavovarus foot using distance mapping on weightbearing computed tomography (WBCT) images by comparing a series ... Full text Link to item Cite

Impact of COVID-19 Pandemic on Patients' Perceptions of Safety and Need for Elective Foot and Ankle Surgery in the United States.

Journal Article Foot Ankle Orthop · April 2021 BACKGROUND: With the development of the COVID-19 pandemic, elective foot and ankle surgeries were delayed throughout the United States to divert health care resources and limit exposure. Little is known about the impact of COVID-19 on patient's willingness ... Full text Open Access Link to item Cite

Weightbearing Computed Tomography as a Novel Imaging Modality: Assessment of Peritalar Instability

Journal Article Fuss Und Sprunggelenk · March 1, 2021 Peritalar instability is a complex pathological entity of the hindfoot. The main characteristics of peritalar instability include pathological alignment of the talus at the talocalcaneal joint level. Very often, peritalar instability is observed in patient ... Full text Cite

A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip.

Journal Article Eur J Orthop Surg Traumatol · February 2021 Displaced fractures (> 2 mm) of the lateral malleolus, without medial or syndesmotic injuries, are often the subject of controversy regarding the best treatment option. In the past, these fractures were usually treated conservatively using a cast for 6 to ... Full text Link to item Cite

Weight-bearing radiographs and cone-beam computed tomography examinations in adult acquired flatfoot deformity.

Journal Article Foot Ankle Surg · February 2021 BACKGROUND: Optimal characterization of Adult acquired flatfoot deformity (AAFD) on two-dimensional radiograph can be challenging. Weightbearing Cone Beam CT (CBCT) may improve characterization of the three-dimensional (3D) structural details of such dynam ... Full text Link to item Cite

Staged salvage of diabetic foot with Chopart amputation and intramedullary nailing.

Journal Article SAGE Open Med Case Rep · 2021 We present a stepwise surgical approach that can be used, in lieu of a transtibial amputation, to preserve the lower limb in the setting of severe diabetic foot infections. A 63-year-old male status post left midfoot (Lisfranc's) amputation presented to ou ... Full text Open Access Link to item Cite

FOOT ALIGNMENT IN SYMPTOMATIC NATIONAL FOOTBALL LEAGUE (NFL) ATHLETES: A WEIGHTBEARING CT ANALYSIS.

Journal Article Acta Ortop Bras · 2021 OBJECTIVE: Our aim was to describe the foot alignment in National Football League (NFL) players with different symptomatic foot and ankle pathologies using weightbearing cone-beam computed tomography (WBCBCT), comparing them to normally aligned feet as con ... Full text Open Access Link to item Cite

Weight-bearing cone-beam computed tomography in the foot and ankle specialty: where we are and where we are going - an update.

Journal Article Radiol Bras · 2021 Cone-beam computed tomography (CBCT) has been applied in dentistry and medicine for nearly two decades. Its application in the foot and ankle specialty has grown exponentially in recent years. Weight-bearing CBCT allows clinicians to obtain weight-bearing ... Full text Open Access Link to item Cite

The Rotational Positioning of the Bones in the Medial Column of the Foot: A Weightbearing CT Analysis.

Journal Article Iowa Orthop J · 2021 BACKGROUND: Malrotation of medial column bones of the foot has been advocated as an important factor in foot conditions such as hallux valgus and progressive collapsing foot deformity. Although stated as a deformity component, variances of normality in the ... Link to item Cite

Weightbearing Computed Tomography for Assessment of Foot and Ankle Deformities: The Iowa Experience.

Journal Article Iowa Orthop J · 2021 BACKGROUND: Weightbearing computed tomography (WBCT) is a reliable and precise modality for the measurement and analysis of bone position in the foot and ankle, as well as associated deformities. WBCT to assess three dimensional relationships among bones a ... Link to item Cite

ERRATUM.

Journal Article Acta Ortop Bras · 2021 [This corrects the article DOI: 10.1590/1413-785220212903236709.]. ... Full text Link to item Cite

Hindfoot alignment using weight-bearing computed tomography

Journal Article Journal of the Foot & Ankle · December 21, 2020 Measurement of hindfoot malalignment and flexibility is essential for treatment decision-making in cavovarus foot deformity. Weight-bearing computed tomography (WBCT) shows greater diagnostic accuracy and allows the study of osteoarticular alignmen ... Full text Cite

Lapicotton technique in the treatment of progressive collapsing foot deformity

Journal Article Journal of the Foot & Ankle · December 21, 2020 We present a technical surgical description of a 36-year-old female diagnosed with Progressive Collapsing Foot Deformity (PCFD) treated with a medial displacement calcaneus osteotomy, a lateral column lengthening, and a modified Lapidus fusion. In ... Full text Cite

Primary Arthrodesis for High-Energy Lisfranc Injuries.

Journal Article Foot Ankle Clin · December 2020 The reported incidence of Lisfranc injuries is 9.2/100.000 person-years; two-thirds of the injuries are nondisplaced. Tarsometatarsal injuries range from minor sprains and isolated ligamentous injuries to grossly unstable and multiligamentous lesions. High ... Full text Link to item Cite

Minimally Invasive Approach for the Reconstruction of the Peroneal Brevis Tendon Using Semitendinosus Autograft: An Alternative Technique to Avoid Soft Tissue Complications

Journal Article Techniques in Foot and Ankle Surgery · December 1, 2020 Surgical treatment of irreparable tears of the peroneal brevis tendon has been widely performed with reconstruction of the tendon using semitendinosus tendon allograft or autograft. However, it is carried out through a long lateral curved incision prone to ... Full text Cite

Tendoscopy for Early-Stages (I and II) Posterior Tibial Tendon Dysfunction

Journal Article Techniques in Foot and Ankle Surgery · December 1, 2020 Tendoscopy of tibialis posterior tendon has been proposed >20 years ago for the treatment of posterior tibial tendon dysfunction. A few studies have reported satisfactory results in stages I and II posterior tibial tendon dysfunction (Johnson and Strom cla ... Full text Cite

Effect of Pain Education and Exercise on Pain and Function in Chronic Achilles Tendinopathy: Protocol for a Double-Blind, Placebo-Controlled Randomized Trial.

Journal Article JMIR Res Protoc · November 3, 2020 BACKGROUND: Achilles tendinopathy (AT) rehabilitation traditionally includes progressive tendon loading exercises. Recent evidence suggests a biopsychosocial approach that incorporates patient education on psychosocial factors and mechanisms of pain can re ... Full text Link to item Cite

Three-Dimensional Biometrics to Correlate Hindfoot and Knee Coronal Alignments Using Modern Weightbearing Imaging.

Journal Article Foot Ankle Int · November 2020 BACKGROUND: Previous studies focusing on the effects of knee surgery on hindfoot alignment have suggested some degree of compensation between the knee and the hindfoot. However, these studies did not investigate a preoperative relationship in patients with ... Full text Link to item Cite

Classification and Nomenclature: Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · October 2020 RECOMMENDATION: The historical nomenclature for the adult acquired flatfoot deformity (AAFD) is confusing, at times called posterior tibial tendon dysfunction (PTTD), the adult flexible flatfoot deformity, posterior tibial tendon rupture, peritalar instabi ... Full text Link to item Cite

Assessment of Posterior and Middle Facet Subluxation of the Subtalar Joint in Progressive Flatfoot Deformity.

Journal Article Foot Ankle Int · October 2020 BACKGROUND: Adult acquired flatfoot deformity (AAFD) is a complex 3-dimensional pathology characterized by peritalar subluxation (PTS) of the hindfoot. For many years, PTS was measured at the posterior facet of the subtalar joint. More recently, subluxatio ... Full text Link to item Cite

Titrating the Amount of Bony Correction in Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · October 2020 RECOMMENDATION: There is evidence indicating that the amount of bony correction performed in the setting of progressive collapsing foot deformity reconstructive surgery can be titrated within a recommended range for a variety of procedures. The typical ran ... Full text Link to item Cite

Consensus on Indications for Isolated Subtalar Joint Fusion and Naviculocuneiform Fusions for Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · October 2020 RECOMMENDATION: Peritalar subluxation represents an important hindfoot component of progressive collapsing foot deformity, which can be associated with a breakdown of the medial longitudinal arch. It results in a complex 3-dimensional deformity with varyin ... Full text Link to item Cite

Consensus on Indications for Medial Cuneiform Opening Wedge (Cotton) Osteotomy in the Treatment of Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · October 2020 RECOMMENDATION: Forefoot varus is a physical and radiographic examination finding associated with the Progressive Collapsing Foot Deformity (PCFD). Varus position of the forefoot relative to the hindfoot is caused by medial midfoot collapse with apex plant ... Full text Link to item Cite

Progressive Collapsing Foot Deformity: Consensus on Goals for Operative Correction.

Journal Article Foot Ankle Int · October 2020 RECOMMENDATION: In the treatment of progressive collapsing foot deformity (PCFD), the combination of bone shape, soft tissue failure, and host factors create a complex algorithm that may confound choices for operative treatment. Realignment and balancing a ... Full text Link to item Cite

Indications for Deltoid and Spring Ligament Reconstruction in Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · October 2020 RECOMMENDATION: There is evidence supporting medial soft tissue reconstruction, such as spring and deltoid ligament reconstructions, in the treatment of severe progressive collapsing foot deformity (PCFD). We recommend spring ligament reconstruction to be ... Full text Link to item Cite

Consensus for the Indication of a Medializing Displacement Calcaneal Osteotomy in the Treatment of Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · October 2020 RECOMMENDATION: There is evidence that the medial displacement calcaneal osteotomy (MDCO) can be effective in treating the progressive collapsing foot deformity (PCFD). This juxta-articular osteotomy of the tuberosity shifts the mechanical axis of the calc ... Full text Link to item Cite

Consensus for the Use of Weightbearing CT in the Assessment of Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · October 2020 RECOMMENDATION: There is evidence that the use of WEIGHTBEARING imaging aids in the assessment of progressive collapsing foot deformity (PCFD). The following WEIGHTBEARING conventional radiographs (CRs) are necessary in the assessment of PCFD patients: ant ... Full text Link to item Cite

Consensus for the Indication of Lateral Column Lengthening in the Treatment of Progressive Collapsing Foot Deformity.

Journal Article Foot Ankle Int · October 2020 RECOMMENDATION: Progressive collapsing foot deformity (PCFD) is a complex 3D deformity with varying degrees of hindfoot valgus, forefoot abduction, and midfoot supination. Although a medial displacement calcaneal osteotomy can correct heel valgus, it has f ... Full text Link to item Cite

Results from more than 13,000 Weight-Bearing CT scans over 6.8 years. Impact on costs, radiation exposure and time spent

Journal Article Fuss Und Sprunggelenk · September 1, 2020 Background: The purpose of this study was to assess the benefit of using Weight-Bearing CT (WBCT) instead of radiographs (R) and/or CT in a foot and ankle center regarding time spent for image acquisition, radiation dose, and cost effectiveness. Material a ... Full text Cite

Talocalcaneal coalition resection and bone block subtalar joint arthrodesis

Journal Article Journal of the Foot & Ankle · August 30, 2020 In this technical tip, we present the case of an obese 17-year-old female diagnosed with a severe, rigid, and symptomatic flatfoot on a background of exuberant talocalcaneal and residual calcaneonavicular coalition. Through a technical modification ... Full text Cite

Intra-articular Transcalcaneal Fracture-Dislocation Associated With Ipsilateral Transtalar Fracture: A Report of a Rare Combination.

Journal Article Foot Ankle Spec · August 2020 The association of ipsilateral talar and calcaneal fractures is an uncommon combination and is typically the result of a high-energy trauma. It is often associated with comminution, marked fracture displacement, and soft-tissue compromise. Obtaining satisf ... Full text Link to item Cite

Association of estrogen receptor β polymorphisms with posterior tibial tendon dysfunction.

Journal Article Mol Cell Biochem · August 2020 Posterior tibial tendon (PTT) dysfunction is three times more common in females, and some patients may have a predisposition without a clinically evident cause, suggesting that individual characteristics play an important role in tendinopathy. The present ... Full text Link to item Cite

Three-Dimensional Biometric Weightbearing CT Evaluation of the Operative Treatment of Adult-Acquired Flatfoot Deformity.

Journal Article Foot Ankle Int · August 2020 BACKGROUND: Assessment of operative correction of adult-acquired flatfoot deformity (AAFD) has been traditionally performed by clinical evaluation and conventional radiographic imaging. Previously, a 3-dimensional biometric weightbearing computed tomograph ... Full text Link to item Cite

Results of more than 11,000 scans with weightbearing CT - Impact on costs, radiation exposure, and procedure time.

Journal Article Foot Ankle Surg · July 2020 BACKGROUND: Weightbearing CT (WBCT) has been proven to more precisely measure bone position than conventional weightbearing radiographic series (R) and conventional CT (CT). The purpose of this study was to assess the benefit of using WBCT instead of R and ... Full text Link to item Cite

Multiplanar Semiautomatic Assessment of Foot and Ankle Offset in Adult Acquired Flatfoot Deformity.

Journal Article Foot Ankle Int · July 2020 BACKGROUND: Semiautomatic 3-dimensional (3D) biometric weightbearing computed tomography (WBCT) tools have been shown to adequately demonstrate the relationship between the center of the ankle joint and the tripod of the foot. The measurement of the foot a ... Full text Link to item Cite

Treatment of Zone 1 Fractures of the Proximal Fifth Metatarsal With CAM-Walker Boot vs Hard-Soled Shoes.

Journal Article Foot Ankle Int · May 2020 BACKGROUND: Zone 1 fractures of the proximal fifth metatarsal are usually treated nonsurgically using some type of immobilization. The aim of this study was to compare clinical and functional outcomes, time to return to prior activity levels, and rate of b ... Full text Link to item Cite

A new path for the Journal of the Foot & Ankle - JFA

Journal Article Journal of the Foot & Ankle · April 30, 2020 Hard work is the key to success. It may sound like a cliché, but the preparation and the release of this first edition of the new Journal of the Foot & Ankle (JFA) were based on this very concept, and we took it very seriously! For years many o ... Full text Cite

Supraintercondylar fracture of the proximal phalanx of the hallux

Journal Article Journal of the Foot & Ankle · April 30, 2020 Toe phalanx fractures are prevalent worldwide. The proximal phalanx of the hallux requires different treatment from the other four lateral phalanges. Poor positioning of rotation and angulation is not acceptable for this bone, since it can result i ... Full text Cite

Use of Advanced Weightbearing Imaging in Evaluation of Hallux Valgus.

Journal Article Foot Ankle Clin · March 2020 Hallux valgus (HV) represents a progressive 3-dimensional deformity that includes bone malalignment, hypermobility of the first ray, and imbalanced soft-tissue structures of the midfoot and forefoot. Conventional radiographs provide sectorized and limited ... Full text Link to item Cite

Is adjunction of advanced platelet-rich fibrin (A-PRF) useful in first metatarsophalangeal joint arthrodesis? A retrospective cohort study.

Journal Article Foot (Edinb) · March 2020 PURPOSE: First metatarsophalangeal (MTPJ1) fusion represents the gold standard treatment for end-stage hallux rigidus (HR). The aim of this study was to assess efficacy and safety of A-PRF in promoting union after MTPJ1 arthrodesis. Our hypothesis was that ... Full text Link to item Cite

Minimally invasive tenodesis for peroneus longus tendon rupture: A case report and review of literature.

Journal Article World J Orthop · February 18, 2020 BACKGROUND: Peroneal tendon disorders are common causes of lateral hindfoot pain. However, total rupture of the peroneal longus tendon is rare. Surgical treatment for this condition is usually a side-to-side tenodesis of the peroneal longus tendon to the p ... Full text Link to item Cite

The use of polyvinyl alcohol hydrogel implants in the lesser metatarsal heads. Is it safely doable? A cadaveric study.

Journal Article Foot Ankle Surg · February 2020 BACKGROUND: The use of synthetic polyvinyl alcohol hydrogel (PVAH) implants for treatment of lesser toe metatarsophalangeal joint (MTPJ) arthritis is promising and currently limited by the size of implants available. The primary objective of this cadaveric ... Full text Link to item Cite

The Effect of Gastrocnemius Recession and Tendo-Achilles Lengthening on Adult Acquired Flatfoot Deformity Surgery: A Systematic Review.

Journal Article J Foot Ankle Surg · 2020 The purpose of this study was to evaluate the available clinical and radiographic evidence for incorporation of a gastrocnemius recession or tendo-Achilles lengthening into the surgical correction of adult acquired flatfoot deformity. A systematic review o ... Full text Link to item Cite

Biomechanical comparison of plantar-to-dorsal and dorsal-to-plantar screw fixation strength for subtalar arthrodesis.

Journal Article Einstein (Sao Paulo) · 2020 OBJECTIVE: To compare screw fixation strength for subtalar arthrodesis. METHODS: Eight matched pairs of cadaver feet underwent subtalar joint arthrodesis with two 7.3mm cannulated screws. Randomization was used to assign screw orientation, such that one fo ... Full text Open Access Link to item Cite

HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS.

Journal Article Acta Ortop Bras · 2020 OBJECTIVES: To describe the surgical treatment of fractures that involves the hallux interphalangeal joint, current indications and management options. METHODS: we performed a literature review of relevant clinical studies in multiple databases, including ... Full text Open Access Link to item Cite

3D, Weightbearing Topographical Study of Periprosthetic Cysts and Alignment in Total Ankle Replacement.

Journal Article Foot Ankle Int · January 2020 BACKGROUND: We investigated the association between hindfoot residual malalignment assessed on weightbearing computed tomography (WBCT) images and the development of periprosthetic cysts (PPCs) after total ankle replacement (TAR). We hypothesized that PPCs ... Full text Link to item Cite

Foot and Ankle Injuries in Dancers

Chapter · January 1, 2020 Classical ballet offers a graceful and beautiful spectacle. This beauty comes at great physical cost to the ballet dancer. It is estimated that up to 95% of dancers employed for greater than 1 year will suffer a significant injury. Most of these physical i ... Full text Cite

Three-dimensional displacement after a medializing calcaneal osteotomy in relation to the osteotomy angle and hindfoot alignment.

Journal Article Foot Ankle Surg · January 2020 BACKGROUND: A medializing calcaneal osteotomy is frequently performed to correct adult-acquired flatfoot deformities, but there is lack of data on the associated three-dimensional variables defining the final correction. The aim of this study was to assess ... Full text Link to item Cite

Should it Stay or Should it Go? Thinking Critically about Posterior Tibial Tendon Excision in Flatfoot Correction

Journal Article Techniques in Foot and Ankle Surgery · December 1, 2019 Stage II adult acquired flatfoot deformity is characterized by painful, progressive collapse long thought to be driven by posterior tibialis tendon (PTT) deficiency or insufficiency. In this article, we discuss the history of our understanding the role of ... Full text Cite

The success rate of first metatarsophalangeal joint lateral soft tissue release through a medial transarticular approach: A cadaveric study.

Journal Article Foot Ankle Surg · December 2019 BACKGROUND: The objective of this study was to evaluate the success rate of first metatarsophalangeal joint (MTPJ) lateral soft tissue release through a medial transarticular approach. METHODS: Ten cadaveric specimens were used (6 females/4 males, mean age ... Full text Link to item Cite

Radiographic Assessment of First Tarsometatarsal Joint Shape and Orientation.

Journal Article Foot Ankle Int · December 2019 BACKGROUND: Hypermobility within the first tarsometatarsal (TMT) joint is a predisposing factor for hallux valgus. The purpose of this study was to assess whether the shape and angulation of the first TMT joint are affected by the positioning of the foot i ... Full text Link to item Cite

Metal artifact reduction MRI for total ankle replacement sagittal balance evaluation.

Journal Article Foot Ankle Surg · December 2019 BACKGROUND: Restoration of anatomical relationship between talus and tibia is crucial for longevity of total ankle replacement (TAR). Weight-bearing (WB) radiographs are the standard for evaluating the sagittal balance alignment, but are prone to rotationa ... Full text Link to item Cite

Hindfoot alignment of adult acquired flatfoot deformity: A comparison of clinical assessment and weightbearing cone beam CT examinations.

Journal Article Foot Ankle Surg · December 2019 BACKGROUND: Clinical assessment of hindfoot alignment (HA) in adult acquired flatfoot deformity (AAFD) can be challenging and weightbearing (WB) cone beam CT (CBCT) may potentially better demonstrate this three-dimensional (3D) deformity. Therefore, we com ... Full text Link to item Cite

The Collapsing Foot: It's All about the Ligaments!

Journal Article Techniques in Foot and Ankle Surgery · December 1, 2019 There are many surgical techniques described for the deltoid ligament and spring ligament reconstruction in the treatment of a collapsing flatfoot. In some cases, addressing these ligaments may offer a way to treat a collapsing flatfoot that preserves the ... Full text Cite

Guest Editorial: Adult Acquired Flatfoot Deformity (AAFD): To the Infinity and Beyond!

Journal Article Techniques in Foot and Ankle Surgery · December 1, 2019 Full text Cite

Subluxation of the Middle Facet of the Subtalar Joint as a Marker of Peritalar Subluxation in Adult Acquired Flatfoot Deformity: A Case-Control Study.

Journal Article J Bone Joint Surg Am · October 16, 2019 BACKGROUND: Progressive peritalar subluxation (PTS) is part of adult acquired flatfoot deformity (AAFD). We investigated the use of the middle facet as an indicator of PTS using standing, weight-bearing computed tomography (CT) images. We hypothesized that ... Full text Link to item Cite

Relationship Between Chronic Lateral Ankle Instability and Hindfoot Varus Using Weight-Bearing Cone Beam Computed Tomography.

Journal Article Foot Ankle Int · October 2019 BACKGROUND: Varus hindfoot deformity may increase the risk of chronic lateral ankle instability (CLAI). Our aim was to analyze hindfoot alignment (HFA) in patients with CLAI using weight-bearing cone beam computed tomography (WBCT) to assess this risk. MET ... Full text Link to item Cite

Ankle fusion percutaneous home run screw fixation: Technical aspects and soft tissue structures at risk.

Journal Article Foot (Edinb) · September 2019 INTRODUCTION: The objective of this cadaveric study was to identify the number of attempts necessary for a perfect positioning of the ankle fusion home run screw and the neurovascular and tendinous structures at risk. METHODS: Eleven cadaveric limbs were u ... Full text Link to item Cite

AAFD: Conventional Radiographs are not Enough! i Need the Third Dimension

Journal Article Techniques in Foot and Ankle Surgery · September 1, 2019 There is an increasing amount of literature suggesting that 3-dimensional (3D) weight-bearing computed tomography (WBCT) imaging overcomes the inherent limits of traditional bidimensional imaging in foot and ankle surgery. This seems to have a significant ... Full text Cite

Guest editorial: Adult acquired flatfoot deformity: The pandora's box of foot and ankle surgery

Journal Article Techniques in Foot and Ankle Surgery · September 1, 2019 Full text Cite

Influence of investigator experience on reliability of adult acquired flatfoot deformity measurements using weightbearing computed tomography.

Journal Article Foot Ankle Surg · August 2019 BACKGROUND: Our purpose was to assess the reliability of measurements of adult-acquired flatfoot deformity (AAFD) taken by investigators of different levels of clinical experience using weightbearing computed tomography (WBCT). METHODS: Nineteen AAFD patie ... Full text Link to item Cite

Cuboid Edema Syndrome Following Fixation of Proximal Fifth Metatarsal Fractures in Professional Athletes.

Journal Article Foot Ankle Spec · August 2019 Stress fractures of the proximal fifth metatarsal are common injuries in elite athletes. Fixation using an intramedullary screw represents the most popular surgery performed for treating these injuries, with excellent results in most cases. However, multip ... Full text Link to item Cite

The hind- and midfoot alignment computed after a medializing calcaneal osteotomy using a 3D weightbearing CT.

Journal Article Int J Comput Assist Radiol Surg · August 2019 PURPOSE: A medializing calcaneal osteotomy (MCO) is a surgical procedure frequently performed to correct an adult acquired flatfoot (AAFD) deformity. However, most studies are limited to a 2D analysis of 3D deformity. Therefore, the aim is to perform a 3D ... Full text Link to item Cite

Revisiting the Prevalence of Associated Copathologies in Chronic Lateral Ankle Instability: Are There Any Predictors of Outcome?

Journal Article Foot Ankle Spec · August 2019 BACKGROUND: Multiple ankle pathologies have been found to coexist with chronic lateral ankle ligament instability, but their prevalence varies widely in the literature. The purpose of this study is to reexamine the prevalence of these associated pathologie ... Full text Link to item Cite

Tibiofibular syndesmosis in asymptomatic ankles: initial kinematic analysis using four-dimensional CT.

Journal Article Clin Radiol · July 2019 AIM: To evaluate the reliability of ankle syndesmotic measurements and their changes during active motion using four-dimensional computed tomography (4DCT) examination in asymptomatic ankles. MATERIALS AND METHODS: 4DCT was performed on both ankles of pati ... Full text Link to item Cite

Changes in cartilage, synovial cells and synovial fluid after malleolar fractures: What its importance for post-traumatic ankle osteoarthitis?

Journal Article Fuss Und Sprunggelenk · June 1, 2019 Background: Despite advances in malleolar fractures treatment, the overall risk to develop posttraumatic ankle osteoarthritis after 20 years is almost 40%, especially bimalleolar Weber type B and C fractures and fractures involving the posterior tibial rim ... Full text Cite

Outcomes of flexor digitorum longus (FDL) tendon transfer in the treatment of Achilles tendon disorders.

Journal Article Foot Ankle Surg · June 2019 BACKGROUND: In patients with chronic Achilles tendon disorders, Achilles tendon debridement can be supplemented with a tendon transfer, with the flexor hallucis longus tendon (FHL) transfer representing the most common used technique. Our study describes c ... Full text Link to item Cite

3D Biometrics for Hindfoot Alignment Using Weightbearing Computed Tomography.

Journal Article Foot Ankle Int · June 2019 BACKGROUND: Weightbearing computed tomography (WBCT) is a useful tool for the assessment of hindfoot alignment (HA). Foot ankle offset (FAO) is a recently introduced parameter, determined from WBCT images using semiautomatic software. The aim of this study ... Full text Link to item Cite

Cone-beam CT measurements of distal tibio-fibular syndesmosis in asymptomatic uninjured ankles: does weight-bearing matter?

Journal Article Skeletal Radiol · April 2019 OBJECTIVE: To evaluate the influence of weight-bearing (WB) load in standard axial ankle syndesmotic measurements using cone beam CT (CBCT) examination of asymptomatic uninjured ankles. MATERIALS AND METHODS: In this IRB approved, prospective study, patien ... Full text Link to item Cite

Preoperative Assessment of the Peroneal Tendons in Lateral Ankle Instability: Examining Clinical Factors, Magnetic Resonance Imaging Sensitivity, and Their Relationship.

Journal Article J Foot Ankle Surg · March 2019 The purpose of our study was to examine the preoperative clinical factors and magnetic resonance imaging (MRI) findings associated with peroneal pathology in chronic lateral ankle instability patients, as well as the clinical factors associated with perone ... Full text Link to item Cite

Calcaneal Osteotomy Safe Zone to Prevent Neurological Damage: Fact or Fiction?

Journal Article Foot Ankle Spec · February 2019 BACKGROUND: Calcaneal osteotomy is a commonly used surgical option for the correction of hindfoot malalignment. A previous cadaveric study described a neurological "safe zone" for calcaneal osteotomy. We performed a retrospective chart review to evaluate t ... Full text Link to item Cite

A comparison of union rates and complications between single screw and double screw fixation of sliding calcaneal osteotomy.

Journal Article Foot Ankle Surg · February 2019 BACKGROUND: The number of screws used for sliding calcaneal osteotomy fixation has not been examined in the literature. The purpose of this paper is to examine this topic. METHODS: Retrospective chart review was performed on 190 patients who met selection ... Full text Link to item Cite

Extensive Synovial Chondromatosis Involving All Flexor Tendons in the Tarsal Tunnel: A Case Report.

Journal Article Rev Bras Ortop (Sao Paulo) · February 2019 Synovial chondromatosis is a rare condition characterized by benign chondrogenic meta- plasia of extra-articular synovial tissue. It usually affects a single tendon sheath of the hand or foot. This report describes a rare case with extensive synovial chond ... Full text Open Access Link to item Cite

Foot Alignment in Symptomatic National Basketball Association Players Using Weightbearing Cone Beam Computed Tomography.

Journal Article Orthop J Sports Med · February 2019 BACKGROUND: Weightbearing cone beam computed tomography (WB CBCT) allows detailed 3-dimensional imaging of the foot and ankle in a weightbearing state and provides improved accuracy and reliability of foot alignment measures, especially when compared with ... Full text Open Access Link to item Cite

Reconstruction of the Peroneus Brevis Tendon Tears with Semitendinosus Tendon Autograft.

Journal Article Case Rep Orthop · 2019 Peroneal tendon disorders are common causes of lateral and retromalleolar ankle pain. For irreparable tears of the tendon, a salvage procedure is indicated with segmental resection followed by reconstruction with tenodesis, tendon transfer, or bridging the ... Full text Open Access Link to item Cite

Vascular supply at risk during lateral release of the patella during total knee arthroplasty: A cadaveric study.

Journal Article J Clin Orthop Trauma · 2019 INTRODUCTION: Lateral release to improve patellar tracking is commonly performed during total knee arthroplasty. Blood is supplied to the lateral patella by two main arteries: the superior and inferior lateral genicular arteries. The transverse infrapatell ... Full text Link to item Cite

Cadaveric study of the infrapatellar branch of the saphenous nerve: Can damage be prevented in total knee arthroplasty?

Journal Article J Clin Orthop Trauma · 2019 BACKGROUND: The infrapatellar branch of the saphenous nerve (IPBSN) is a purely sensory nerve innervating the anteromedial aspect of the knee and anteroinferior knee joint capsule. Total knee arthroplasty (TKA) is commonly used to treat end-stage arthritis ... Full text Link to item Cite

The use of bioactive glass S53P4 in the treatment of an infected Charcot foot: a case report.

Journal Article J Wound Care · January 1, 2019 OBJECTIVE:: To report a case of successful limb-salvage staged treatment in the treatment of an infected diabetic Charcot foot. CASE SUMMARY:: A 45-year-old male with long-term, uncontrolled type 2 diabetes, six months' history of progressive deformity on ... Full text Link to item Cite

ERα PvuII and XbaI polymorphisms in postmenopausal women with posterior tibial tendon dysfunction: a case control study.

Journal Article J Orthop Surg Res · December 11, 2018 BACKGROUND: Posterior tibial tendon (PTT) insufficiency is considered as the main cause of adult acquired flat foot and is three times more frequent in females. High estrogen levels exert a positive effect on the overall collagen synthesis in tendons. We h ... Full text Open Access Link to item Cite

Clinical and radiographic outcomes of the Kramer osteotomy in the treatment of bunionette deformity.

Journal Article Foot Ankle Surg · December 2018 BACKGROUND: Bunionette deformity is a painful bony prominence of the 5th metatarsal. We evaluated outcomes of using a Kramer osteotomy to treat this condition. METHODS: Retrospective study of patients treated with a Kramer osteotomy from 2003 and 2016. Out ... Full text Link to item Cite

Intraoperative tap test for coronal syndesmotic instability: A cadaveric study.

Journal Article Injury · October 2018 INTRODUCTION: Precise diagnosis of distal tibiofibular syndesmotic injury is challenging, and a gold standard diagnostic test has still not been established. Tibiofibular clear space identified on radiographic imaging is considered the most reliable indica ... Full text Link to item Cite

Soft Tissue Structures at Risk With Percutaneous Posterior to Anterior Screw Fixation of the Talar Neck.

Journal Article Foot Ankle Int · October 2018 BACKGROUND: Fractures of the talar neck and body can be fixed with percutaneously placed screws directed from anterior to posterior or posterior to anterior. The latter has been found to be biomechanically and anatomically superior. Percutaneous guidewire ... Full text Link to item Cite

Correlation of Clinical Evaluation and Radiographic Hindfoot Alignment in Stage II Adult-Acquired Flatfoot Deformity.

Journal Article Foot Ankle Int · July 2018 BACKGROUND: Previous work has demonstrated that the amount of radiographic hindfoot correction required at the time of adult-acquired flatfoot deformity (AAFD) operative treatment can be predicted by the amount of radiographic deformity present before surg ... Full text Link to item Cite

Short-Term Complications, Reoperations, and Radiographic Outcomes of a New Fixed-Bearing Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · July 2018 BACKGROUND: With the increasing use of total ankle arthroplasty (TAA), new implants with varied configurations are being developed every year. This study aimed to assess the early complications, reoperations, and radiographic and clinical outcomes of the I ... Full text Link to item Cite

Joystick of the Talus for Correcting Malalignment During Arthroscopic Ankle Arthrodesis: A Surgical Tip.

Journal Article Arthrosc Tech · May 2018 Ankle arthrodesis has been widely reported as an effective solution in treating tibiotalar joint osteoarthritis. The arthroscopic tibiotalar approach for arthrodesis has also been proven to give excellent results in terms of bone fusion rates and reduction ... Full text Open Access Link to item Cite

Metal artifact reduction MRI of total ankle arthroplasty implants.

Journal Article Eur Radiol · May 2018 OBJECTIVES: To assess high-bandwidth and compressed sensing-(CS)-SEMAC turbo spin echo (TSE) techniques for metal artifact reduction MRI of total ankle arthroplasty (TAA) implants. METHODS: Following institutional approval and consent, 40 subjects with TAA ... Full text Link to item Cite

Weight-bearing cone beam CT scans in the foot and ankle.

Journal Article EFORT Open Rev · May 2018 The 3D anatomical complexity of the foot and ankle and the importance of weight-bearing in diagnosis have required the combination of conventional radiographs and medical CT.Conventional plain radiographs (XR) have demonstrated substantial limitations such ... Full text Open Access Link to item Cite

Anatomic Evaluation of Percutaneous Achilles Tendon Lengthening.

Journal Article Foot Ankle Int · April 2018 BACKGROUND: The objective of the study was to evaluate the accuracy of percutaneous Achilles tendon lengthening (TAL) using a triple hemisection technique and the improvement in ankle dorsiflexion. METHODS: Ten fresh-frozen above-knee cadaveric specimens w ... Full text Link to item Cite

Early versus late repair of rotator cuff tears in rats.

Journal Article J Shoulder Elbow Surg · April 2018 BACKGROUND: In the event of a traumatic rotator cuff tear, patients are routinely advised that early surgical intervention produces an optimal repair, despite a lack of direct evidence to support this recommendation. To address this knowledge gap, massive ... Full text Link to item Cite

Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement.

Journal Article Int Orthop · April 2018 BACKGROUND: Several operative techniques exist for Achilles tendinopathy. The purpose of our study was to compare the clinical and functional outcomes of flexor hallucis longus (FHL) transfer and V-Y advancement for the treatment of chronic insertional Ach ... Full text Link to item Cite

☆Diagnostic and therapeutic injections of the foot and ankle-An overview.

Journal Article Foot Ankle Surg · April 2018 Foot and ankle injections are useful diagnostic and therapeutic tools, particularly when the pain etiology is uncertain. A variety of foot and ankle injuries and pathologies, including degenerative joint disease, plantar fasciitis and different tendinopath ... Full text Link to item Cite

Fluoroquinolones and the Risk of Achilles Tendon Disorders: Update on a Neglected Complication.

Journal Article Urology · March 2018 OBJECTIVE: To evaluate the current evidence and to identify associated risk factors that increase the incidence of this complication. Fluoroquinolone (FQ) has been considered the first-line therapy for uncomplicated urinary infections. FQ has been associat ... Full text Link to item Cite

Weightbearing Computed Tomography of the Foot and Ankle: Emerging Technology Topical Review.

Journal Article Foot Ankle Int · March 2018 UNLABELLED: In the last decade, cone-beam computed tomography technology with improved designs allowing flexible gantry movements has allowed both supine and standing weight-bearing imaging of the lower extremity. There is an increasing amount of literatur ... Full text Link to item Cite

Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip.

Journal Article Foot Ankle Spec · February 2018 UNLABELLED: Phalangeal fractures of the toes represent common injuries of the forefoot. In the hallux, most fractures occur at the distal phalanx and frequently result from a direct crushing type of injury. Intra-articular fractures of the hallux are usual ... Full text Link to item Cite

Correlation of Appointment Times and Subspecialty With the No-Show Rates in an Orthopedic Ambulatory Clinic.

Journal Article J Healthc Manag · 2018 Unexpectedly missed appointments ("no-shows") cause clinic inefficiency, lost time and revenue, wasted healthcare resources, and provider dissatisfaction. No-shows can be associated with miscommunication, transportation difficulties, employment status, age ... Full text Link to item Cite

Open Re-rupture of the Achilles Tendon Following Minimally Invasive Repair: A Case Report.

Journal Article J Foot Ankle Surg · 2018 In this report, we describe a rare complication of an open re-rupture of the Achilles tendon following a minimally invasive Achilles tendon repair on a healthy 29-year-old active male. The reinjury happened 19 weeks following the primary surgical repair of ... Full text Link to item Cite

WEIGHT-BEARING COMPUTED TOMOGRAPHY OF THE FOOT AND ANKLE: AN UPDATE AND FUTURE DIRECTIONS.

Journal Article Acta Ortop Bras · 2018 Spatial understanding of osteoarticular deformities of the foot and ankle is vital to correct diagnosis and therapeutic decision making. Poor reproducibility in conventional standing radiography in three orthogonal views has driven the development of weigh ... Full text Open Access Link to item Cite

Novel animal model for Achilles tendinopathy: Controlled experimental study of serial injections of collagenase in rabbits.

Journal Article PLoS One · 2018 Our goal was to develop a novel technique for inducing Achilles tendinopathy in animal models which more accurately represents the progressive histological and biomechanical characteristic of chronic Achilles tendinopathy in humans. In this animal research ... Full text Open Access Link to item Cite

Combined Lag Screw and Cerclage Wire Fixation for Calcaneal Tuberosity Avulsion Fractures.

Journal Article Case Rep Orthop · 2018 Avulsion fractures of the calcaneal tuberosity represent a rare injury pattern that is caused by a powerful tension force from the Achilles tendon and is usually seen following minor trauma, especially in elderly patients. The objective of this study is to ... Full text Open Access Link to item Cite

Results of lateral ankle ligament repair surgery in one hundred and nineteen patients: do surgical method and arthroscopy timing matter?

Journal Article Int Orthop · November 2017 PURPOSE: Ankle sprains are the most common athletic injury. One of five chronic lateral ankle instability patients will require surgery, making operative outcomes crucial. The purpose of this study is to determine if operative method influences failure and ... Full text Link to item Cite

Neurovascular Structures at Risk With Curved Retrograde TTC Fusion Nails.

Journal Article Foot Ankle Int · October 2017 BACKGROUND: The purpose of this study was to assess the risk of iatrogenic injury to plantar neurovascular structures of the foot during insertion of a curved retrograde tibiotalocalcaneal (TTC) fusion nail. MATERIAL AND METHODS: Ten below-knee thawed fres ... Full text Link to item Cite

Flexible Adult Acquired Flatfoot Deformity: Comparison Between Weight-Bearing and Non-Weight-Bearing Measurements Using Cone-Beam Computed Tomography.

Journal Article J Bone Joint Surg Am · September 20, 2017 BACKGROUND: The 3-dimensional nature of adult acquired flatfoot deformity can be challenging to characterize using radiographs. We tested the hypothesis that measurements on weight-bearing (WB) cone-beam computed tomography (CT) images were more useful for ... Full text Link to item Cite

Does MMP-3 polymorphism have a role in the etiology of the posterior tibial tendinopathy?

Journal Article Fuss Und Sprunggelenk · June 1, 2017 Background Several risk factors and systemic conditions have been proposed in the etiology of posterior tibial tendon (PTT) tendinopathy. However, many patients present PTT dysfunction without any of these characteristics. This suggests that there could be ... Full text Cite

Metal Artifact Reduction Magnetic Resonance Imaging Around Arthroplasty Implants: The Negative Effect of Long Echo Trains on the Implant-Related Artifact.

Journal Article Invest Radiol · May 2017 OBJECTIVES: Long echo train length (ETL) is an often recommended but unproven technique to decrease metal artifacts on magnetic resonance imaging (MRI) scans. Therefore, we quantitatively and qualitatively assessed the effects of ETL on metal artifact on M ... Full text Link to item Cite

Diabetic limb salvage procedure with bone allograft and free flap transfer: a case report.

Journal Article Diabet Foot Ankle · 2017 The aim of this case report was to describe a successful diabetic limb salvage procedure in the treatment of an infected diabetic foot ulcer through a multidisciplinary team approach and complex surgical reconstruction involving a femoral head bone allogra ... Full text Open Access Link to item Cite

ROLE OF BONE GRAFTS AND BONE GRAFT SUBSTITUTES IN ISOLATED SUBTALAR JOINT ARTHRODESIS.

Journal Article Acta Ortop Bras · 2017 OBJECTIVES: The purpose of this study was to compare union rates for isolated subtalar arthrodesis with and without the use of bone grafts or bone graft substitutes. METHODS: We retrospectively reviewed 135 subtalar fusions with a mean follow-up of 18 ± 14 ... Full text Open Access Link to item Cite

Effects of decompression time after spinalspinal cord injuryury on neurologineurologineurologic recoveryery in wistar rats

Journal Article Acta Ortopedica Brasileira · December 1, 2010 Objective: Traumatic spinal Cord injuries are common in patients with high-energy trauma, and have significant morbidity and mortality rates, as well as high psychological and social costs, causing a major impact on public health. To date, the treatment of ... Full text Cite