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James Keith DeOrio

Professor of Orthopaedic Surgery
Orthopaedic Surgery
Box 3332 Med Ctr, Durham, NC 27710
5601 Arringdon Park Dr. Ste 300, Suite 300, Durham, NC 27560

Selected Publications


Diabetic management and infection risk in total ankle arthroplasty.

Journal Article Foot Ankle Surg · April 16, 2024 BACKGROUND: As total ankle arthroplasty (TAA) increases in popularity nationwide for the management of end-stage arthritis, it is essential to understand ways to mitigate the risk of infection. Diabetes increases the risk of infection due to compromised im ... Full text Link to item Cite

Outcomes After Total Ankle Arthroplasty in Patients Aged ≤50 Years at Midterm Follow-up.

Journal Article Foot Ankle Int · April 2024 BACKGROUND: Ankle arthritis differs from arthritis of the hip and knee in that 80% is posttraumatic and thus often occurs in a younger patient population. The literature supporting total ankle arthroplasty (TAA) in younger patients has increased over recen ... Full text Link to item Cite

Association of Radiographic Soft Tissue Thickness With Revision Total Ankle Arthroplasty Following Primary Total Ankle Arthroplasty: A Minimum of 5-year Follow-up.

Journal Article Foot Ankle Orthop · April 2024 BACKGROUND: The incidence of primary total ankle arthroplasty (TAA) is rising, with a corresponding increase in revision surgeries. Despite this, research on risk factors for revision TAA following primary TAA remains limited. Radiographic soft tissue thic ... Full text Link to item Cite

Revision Total Ankle Arthroplasty Using the INBONE II System.

Journal Article Foot Ankle Int · March 6, 2024 BACKGROUND: The utilization of total ankle arthroplasty (TAA) for managing severe ankle osteoarthritis has become increasingly common, leading to a higher occurrence of revision TAA procedures because of failure of primary TAA. This study aims to examine t ... Full text Link to item Cite

Younger Patients Undergoing Total Ankle Arthroplasty Experience Higher Complication Rates and Worse Functional Outcomes.

Journal Article J Bone Joint Surg Am · January 3, 2024 BACKGROUND: Although many patients with posttraumatic ankle arthritis are of a younger age, studies evaluating the impact of age on outcomes of primary total ankle arthroplasty (TAA) have revealed heterogenous results. The purpose of the present study was ... Full text Link to item Cite

Comparison of Radiographic Talar Loosening Rates Between Salto-Talaris and INBONE II.

Journal Article Foot Ankle Int · January 2024 BACKGROUND: Despite substantial increase in total ankle arthroplasty (TAA) nationwide, there are few studies comparing flat-cut vs chamfer-cut talar systems in TAA with regard to radiographic aseptic loosening rates of the implant. METHODS: This retrospect ... Full text Link to item Cite

A Propensity Score Matched Exploration of Infection in Primary Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · November 2023 BACKGROUND: Infection is a serious complication of primary total ankle arthroplasty (TAA) and can lead to implant failure and revision surgery. Various demographic, comorbidity, and surgical factors have been associated with an increased risk of infection. ... Full text Link to item Cite

Total Ankle Arthroplasty: Does Obesity Matter?

Journal Article Foot Ankle Int · July 2023 BACKGROUND: There is limited data evaluating the effect of obesity on outcomes following total ankle arthroplasty (TAA), especially in adequate sample sizes to detect impacts on patient-reported outcomes (PROs). The purpose of this study was to assess the ... Full text Link to item Cite

Republication of "Keeping It in the Fairway: Golf Handicap Following Total Ankle Arthroplasty".

Journal Article Foot Ankle Orthop · July 2023 BACKGROUND: Total ankle arthroplasty (TAA) provides a surgical alternative to tibiotalar arthrodesis when treating end-stage ankle arthritis. TAA preserves range of motion at the tibiotalar joint leading to improved postoperative function. Many patients wh ... Full text Link to item Cite

Early Outcomes of Combined Total Ankle Total Talus Replacement Using a 3D-Printed Talus Component With Hindfoot Arthrodesis.

Journal Article Foot Ankle Spec · June 2023 Late-stage talar avascular necrosis (AVN) results in devascularization of the talus with osteonecrosis and subchondral collapse. A combined total ankle and total talus replacement (TATTR) with hindfoot arthrodesis may be utilized for end-stage talar AVN wi ... Full text Link to item Cite

Midterm Clinical and Radiographic Outcomes of the Calcaneal Z-Osteotomy for the Correction of Cavovarus Foot.

Journal Article Foot Ankle Orthop · January 2023 BACKGROUND: The Malerba calcaneal Z-osteotomy is an operative procedure to treat the hindfoot varus component of adult cavovarus deformity. Basic science studies support the corrective ability of this osteotomy. However, there have been no published midter ... Full text Link to item Cite

Tibiopedal Motion Following Tendo-Achilles Lengthening or Gastrocnemius Recession in Total Ankle Replacement: A Comparative Cohort Study.

Journal Article Foot & ankle international · December 2022 BackgroundEnd-stage ankle arthritis is a debilitating condition often necessitating total ankle replacement (TAR). Tendo-Achilles lengthening (TAL) and gastrocnemius recession (GR) are commonly performed with TAR to improve ankle dorsiflexion (DF) ... Full text Cite

Clinical Outcomes and Complications of Simultaneous or Sequential Bilateral Total Ankle Arthroplasty: A Single-Center Comparative Cohort Study.

Journal Article J Bone Joint Surg Am · October 5, 2022 BACKGROUND: The risk-benefit profiles of simultaneous total ankle arthroplasty (TAA) compared with sequential TAA continue to be debated. There are limited case series reporting outcomes after bilateral TAA, with no previous comparison of simultaneous TAA ... Full text Link to item Cite

Postoperative changes in cognition and cerebrospinal fluid neurodegenerative disease biomarkers.

Journal Article Ann Clin Transl Neurol · February 2022 OBJECTIVE: Numerous investigators have theorized that postoperative changes in Alzheimer's disease neuropathology may underlie postoperative neurocognitive disorders. Thus, we determined the relationship between postoperative changes in cognition and cereb ... Full text Open Access Link to item Cite

Perioperative neurocognitive and functional neuroimaging trajectories in older APOE4 carriers compared with non-carriers: secondary analysis of a prospective cohort study.

Journal Article Br J Anaesth · December 2021 BACKGROUND: Cognitive dysfunction after surgery is a major issue in older adults. Here, we determined the effect of APOE4 on perioperative neurocognitive function in older patients. METHODS: We enrolled 140 English-speaking patients ≥60 yr old scheduled fo ... Full text Open Access Link to item Cite

Analysis of 408 Total Ankle Arthroplasty Adverse Events Reported to the US Food and Drug Administration From 2015 to 2018.

Journal Article Foot Ankle Spec · October 2021 Background. Total ankle arthroplasty (TAA) use has increased with newer generation implants. Current reports in the literature regarding complications use data extracted from high-volume centers. The types of complications experienced by lower-volume cente ... Full text Link to item Cite

Improvement in Health-Related Quality of Life After Total Ankle Arthroplasty Compares Well With Other Successful Orthopaedic and Nonorthopaedic Procedures.

Journal Article Foot Ankle Spec · October 2021 Background. Ankle arthritis is a major cause of disability. Orthopaedic literature suggests improvement in health-related quality of life (HRQOL) after total ankle arthroplasty (TAA). This has not been compared with improvements observed in successful orth ... Full text Link to item Cite

Retrocalcaneal spur removal and achilles tendon reattachment for the treatment of haglund deformity

Journal Article Techniques in Foot and Ankle Surgery · June 1, 2021 Insertional Achilles tendinopathy frequently involves intratendinous calcification of the Achilles tendon insertion and a prominent superolateral calcaneus tuberosity known as a Haglund's deformity. The incidence of insertional Achilles tendinopathy is up ... Full text Cite

Diabetic management and infection risk in total ankle arthroplasty.

Journal Article Foot Ankle Surg · April 16, 2024 BACKGROUND: As total ankle arthroplasty (TAA) increases in popularity nationwide for the management of end-stage arthritis, it is essential to understand ways to mitigate the risk of infection. Diabetes increases the risk of infection due to compromised im ... Full text Link to item Cite

Outcomes After Total Ankle Arthroplasty in Patients Aged ≤50 Years at Midterm Follow-up.

Journal Article Foot Ankle Int · April 2024 BACKGROUND: Ankle arthritis differs from arthritis of the hip and knee in that 80% is posttraumatic and thus often occurs in a younger patient population. The literature supporting total ankle arthroplasty (TAA) in younger patients has increased over recen ... Full text Link to item Cite

Association of Radiographic Soft Tissue Thickness With Revision Total Ankle Arthroplasty Following Primary Total Ankle Arthroplasty: A Minimum of 5-year Follow-up.

Journal Article Foot Ankle Orthop · April 2024 BACKGROUND: The incidence of primary total ankle arthroplasty (TAA) is rising, with a corresponding increase in revision surgeries. Despite this, research on risk factors for revision TAA following primary TAA remains limited. Radiographic soft tissue thic ... Full text Link to item Cite

Revision Total Ankle Arthroplasty Using the INBONE II System.

Journal Article Foot Ankle Int · March 6, 2024 BACKGROUND: The utilization of total ankle arthroplasty (TAA) for managing severe ankle osteoarthritis has become increasingly common, leading to a higher occurrence of revision TAA procedures because of failure of primary TAA. This study aims to examine t ... Full text Link to item Cite

Younger Patients Undergoing Total Ankle Arthroplasty Experience Higher Complication Rates and Worse Functional Outcomes.

Journal Article J Bone Joint Surg Am · January 3, 2024 BACKGROUND: Although many patients with posttraumatic ankle arthritis are of a younger age, studies evaluating the impact of age on outcomes of primary total ankle arthroplasty (TAA) have revealed heterogenous results. The purpose of the present study was ... Full text Link to item Cite

Comparison of Radiographic Talar Loosening Rates Between Salto-Talaris and INBONE II.

Journal Article Foot Ankle Int · January 2024 BACKGROUND: Despite substantial increase in total ankle arthroplasty (TAA) nationwide, there are few studies comparing flat-cut vs chamfer-cut talar systems in TAA with regard to radiographic aseptic loosening rates of the implant. METHODS: This retrospect ... Full text Link to item Cite

A Propensity Score Matched Exploration of Infection in Primary Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · November 2023 BACKGROUND: Infection is a serious complication of primary total ankle arthroplasty (TAA) and can lead to implant failure and revision surgery. Various demographic, comorbidity, and surgical factors have been associated with an increased risk of infection. ... Full text Link to item Cite

Total Ankle Arthroplasty: Does Obesity Matter?

Journal Article Foot Ankle Int · July 2023 BACKGROUND: There is limited data evaluating the effect of obesity on outcomes following total ankle arthroplasty (TAA), especially in adequate sample sizes to detect impacts on patient-reported outcomes (PROs). The purpose of this study was to assess the ... Full text Link to item Cite

Republication of "Keeping It in the Fairway: Golf Handicap Following Total Ankle Arthroplasty".

Journal Article Foot Ankle Orthop · July 2023 BACKGROUND: Total ankle arthroplasty (TAA) provides a surgical alternative to tibiotalar arthrodesis when treating end-stage ankle arthritis. TAA preserves range of motion at the tibiotalar joint leading to improved postoperative function. Many patients wh ... Full text Link to item Cite

Early Outcomes of Combined Total Ankle Total Talus Replacement Using a 3D-Printed Talus Component With Hindfoot Arthrodesis.

Journal Article Foot Ankle Spec · June 2023 Late-stage talar avascular necrosis (AVN) results in devascularization of the talus with osteonecrosis and subchondral collapse. A combined total ankle and total talus replacement (TATTR) with hindfoot arthrodesis may be utilized for end-stage talar AVN wi ... Full text Link to item Cite

Midterm Clinical and Radiographic Outcomes of the Calcaneal Z-Osteotomy for the Correction of Cavovarus Foot.

Journal Article Foot Ankle Orthop · January 2023 BACKGROUND: The Malerba calcaneal Z-osteotomy is an operative procedure to treat the hindfoot varus component of adult cavovarus deformity. Basic science studies support the corrective ability of this osteotomy. However, there have been no published midter ... Full text Link to item Cite

Tibiopedal Motion Following Tendo-Achilles Lengthening or Gastrocnemius Recession in Total Ankle Replacement: A Comparative Cohort Study.

Journal Article Foot & ankle international · December 2022 BackgroundEnd-stage ankle arthritis is a debilitating condition often necessitating total ankle replacement (TAR). Tendo-Achilles lengthening (TAL) and gastrocnemius recession (GR) are commonly performed with TAR to improve ankle dorsiflexion (DF) ... Full text Cite

Clinical Outcomes and Complications of Simultaneous or Sequential Bilateral Total Ankle Arthroplasty: A Single-Center Comparative Cohort Study.

Journal Article J Bone Joint Surg Am · October 5, 2022 BACKGROUND: The risk-benefit profiles of simultaneous total ankle arthroplasty (TAA) compared with sequential TAA continue to be debated. There are limited case series reporting outcomes after bilateral TAA, with no previous comparison of simultaneous TAA ... Full text Link to item Cite

Postoperative changes in cognition and cerebrospinal fluid neurodegenerative disease biomarkers.

Journal Article Ann Clin Transl Neurol · February 2022 OBJECTIVE: Numerous investigators have theorized that postoperative changes in Alzheimer's disease neuropathology may underlie postoperative neurocognitive disorders. Thus, we determined the relationship between postoperative changes in cognition and cereb ... Full text Open Access Link to item Cite

Perioperative neurocognitive and functional neuroimaging trajectories in older APOE4 carriers compared with non-carriers: secondary analysis of a prospective cohort study.

Journal Article Br J Anaesth · December 2021 BACKGROUND: Cognitive dysfunction after surgery is a major issue in older adults. Here, we determined the effect of APOE4 on perioperative neurocognitive function in older patients. METHODS: We enrolled 140 English-speaking patients ≥60 yr old scheduled fo ... Full text Open Access Link to item Cite

Analysis of 408 Total Ankle Arthroplasty Adverse Events Reported to the US Food and Drug Administration From 2015 to 2018.

Journal Article Foot Ankle Spec · October 2021 Background. Total ankle arthroplasty (TAA) use has increased with newer generation implants. Current reports in the literature regarding complications use data extracted from high-volume centers. The types of complications experienced by lower-volume cente ... Full text Link to item Cite

Improvement in Health-Related Quality of Life After Total Ankle Arthroplasty Compares Well With Other Successful Orthopaedic and Nonorthopaedic Procedures.

Journal Article Foot Ankle Spec · October 2021 Background. Ankle arthritis is a major cause of disability. Orthopaedic literature suggests improvement in health-related quality of life (HRQOL) after total ankle arthroplasty (TAA). This has not been compared with improvements observed in successful orth ... Full text Link to item Cite

Retrocalcaneal spur removal and achilles tendon reattachment for the treatment of haglund deformity

Journal Article Techniques in Foot and Ankle Surgery · June 1, 2021 Insertional Achilles tendinopathy frequently involves intratendinous calcification of the Achilles tendon insertion and a prominent superolateral calcaneus tuberosity known as a Haglund's deformity. The incidence of insertional Achilles tendinopathy is up ... Full text Cite

Effect of Gender Differences on Patient-Reported Outcomes and Complications in Total Ankle Replacement.

Journal Article Foot Ankle Int · June 2021 BACKGROUND: The purpose of this study was to evaluate gender differences in patient outcomes and complications following total ankle replacement (TAR). METHODS: Consecutive patients who underwent primary TAR from July 2007 through May 2016 were prospective ... Full text Link to item Cite

Vantage total ankle replacement

Chapter · June 1, 2021 The Vantage Total Ankle Replacement is one of the newest fixed bearing total ankle replacements on the U.S. market with a mobile bearing prosthesis available in Europe. The design features are unique, and the insertion technique is very specific. Thus far, ... Full text Cite

Immunomodulatory lipid mediator profiling of cerebrospinal fluid following surgery in older adults.

Journal Article Sci Rep · February 4, 2021 Arachidonic acid (AA), docosahexaenoic acid (DHA), and eicosapentaenoic acid (EPA) derived lipids play key roles in initiating and resolving inflammation. Neuro-inflammation is thought to play a causal role in perioperative neurocognitive disorders, yet th ... Full text Open Access Link to item Cite

Economic Analysis and Clinical Outcomes of Short-Stay Versus Inpatient Total Ankle Replacement Surgery.

Journal Article Foot Ankle Int · January 2021 BACKGROUND: We aimed to perform an economic analysis and compare the clinical outcomes between inpatient and short-stay designation total ankle replacement (TAR). METHODS: We performed a retrospective study on 178 consecutive patients undergoing primary in ... Full text Link to item Cite

Protective Approach for Anatomical Structures at Risk in Total Ankle Replacement.

Journal Article J Foot Ankle Surg · 2021 Currently, total ankle replacement (TAR) is an alternative to arthrodesis in selected patients, with the anterior approach being the most widely used to carry it out. Regardless of the type of implant used, the pins for bone resection guides, chisels, and ... Full text Link to item Cite

Cerebrospinal Fluid Proteome Changes in Older Non-Cardiac Surgical Patients with Postoperative Cognitive Dysfunction.

Journal Article J Alzheimers Dis · 2021 BACKGROUND: Postoperative cognitive dysfunction (POCD), a syndrome of cognitive deficits occurring 1-12 months after surgery primarily in older patients, is associated with poor postoperative outcomes. POCD is hypothesized to result from neuroinflammation; ... Full text Open Access Link to item Cite

Tibiotalocalcaneal Arthrodesis Using a Novel Retrograde Intramedullary Nail.

Journal Article Foot Ankle Spec · December 2020 Background. Tibiotalocalcaneal (TTC) arthrodesis is a common treatment option for complex hindfoot pathology. Overall union rates range from 50% to 86% but can be even lower in certain populations. A novel retrograde intramedullary nail has recently been d ... Full text Link to item Cite

Surgical Technique for Management of Severe Calcaneofibular Impingement: Case Series.

Journal Article Foot Ankle Orthop · October 2020 BACKGROUND: Calcaneofibular impingement is characterized by lateral hindfoot pain and is commonly resulting from calcaneal fracture malunion or severe flatfoot deformity. Lateral calcaneal wall decompression has been used successfully to relieve pain in pa ... Full text Link to item Cite

Patient Characteristics of Possible Responders and Nonresponders to Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · August 2020 BACKGROUND: Characteristics of responders, or those who achieve a clinical improvement above the level of a minimal clinically important difference, have not been defined for total ankle arthroplasty (TAA). The purpose of this study was to determine patien ... Full text Link to item Cite

Comparison of Tibiotalocalcaneal Arthrodeses Using a Sustained Dynamic Compression Nail Versus Nondynamized Nails.

Journal Article Foot Ankle Spec · June 2020 Background. Tibiotalocalcaneal (TTC) arthrodesis is a common treatment option for hindfoot arthritis and deformity. Loss of compression over time with statically locked nails may contribute to nonunion. A novel retrograde intramedullary nail with an intern ... Full text Link to item Cite

Results of Tibia and Fibula Osteotomies Performed Concomitant to Total Ankle Replacement.

Journal Article Foot Ankle Int · March 2020 BACKGROUND: Neutral ankle alignment along with medial and lateral support are paramount to the success of total ankle replacement (TAR). Fibula, intra-articular medial malleolus, and supramalleolar tibia osteotomies have been described to achieve these goa ... Full text Link to item Cite

INBONE Revision Total Ankle Arthroplasty

Journal Article Techniques in Foot and Ankle Surgery · January 1, 2020 The INBONE total ankle replacement is both a primary and a revision total ankle replacement. It is a modular tibial ankle with the ability to increase the length of the stem as necessary for stability. It also has available an enlarged baseplate for the ti ... Full text Cite

Surgical Technique of the VANTAGE Total Ankle Arthroplasty

Journal Article Techniques in Foot and Ankle Surgery · January 1, 2020 The VANTAGE total ankle arthroplasty is a novel anatomic mobile or fixed-bearing total ankle arthroplasty with a good and simple instrumentation giving to surgeons a safe implantation ventral approach technique. Our first cases report a successful function ... Full text Cite

Combined Total Talus Replacement and Total Ankle Arthroplasty.

Journal Article J Surg Orthop Adv · 2020 Avascular necrosis (AVN) of the talus remains a clinical challenge with suboptimal outcomes after treatment. In cases of extensive disease, the insufficient blood supply leads to a high rate of complications including non-union after surgical treatment. Th ... Link to item Cite

Flow Cytometry Characterization of Cerebrospinal Fluid Monocytes in Patients With Postoperative Cognitive Dysfunction: A Pilot Study.

Journal Article Anesth Analg · November 2019 Animal models suggest postoperative cognitive dysfunction may be caused by brain monocyte influx. To study this in humans, we developed a flow cytometry panel to profile cerebrospinal fluid (CSF) samples collected before and after major noncardiac surgery ... Full text Open Access Link to item Cite

Prospective Randomized Trial Comparing Mobile-Bearing and Fixed-Bearing Total Ankle Replacement.

Journal Article Foot Ankle Int · November 2019 BACKGROUND: Outcomes of total ankle replacement for the treatment of end-stage ankle arthritis continue to improve. Debate continues whether a mobile-bearing total ankle replacement (MB-TAR) or a fixed-bearing total ankle replacement (FB-TAR) is superior, ... Full text Link to item Cite

Outcomes of Total Ankle Arthroplasty in Moderate and Severe Valgus Deformity.

Journal Article Foot Ankle Spec · June 2019 Introduction. Failure to correct coronal deformity at the time of total ankle arthroplasty (TAA) can lead to early implant failure. We aimed to determine clinical, radiographic, and patient-reported outcomes of patients with moderate to severe valgus defor ... Full text Link to item Cite

Algorithm for Management of Periprosthetic Ankle Fractures.

Journal Article Foot Ankle Int · June 2019 BACKGROUND: Evidence on the management of and outcomes from periprosthetic fractures about a total ankle replacement (TAR) are limited. The purpose of this study was to develop an algorithm for the management of patients with postoperative periprosthetic f ... Full text Link to item Cite

Risk Factors for Failure of Total Ankle Arthroplasty With a Minimum Five Years of Follow-up.

Journal Article Foot Ankle Int · March 2019 BACKGROUND:: As the popularity of total ankle arthroplasty (TAA) increases and indications expand, surgeons require a better understanding of which patient factors are associated with implant failure. In this study, we aimed to use a large total ankle data ... Full text Link to item Cite

Hindfoot Arthrodesis Screw Position and Trajectory Effect on Talus Subsidence When Performed With Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · March 2019 BACKGROUND:: Total ankle arthroplasty (TAA) is increasingly being recognized as an effective surgical option for end-stage ankle arthritis. Associated hindfoot arthrodesis procedures are at times needed to correct malalignment or to address adjacent joint ... Full text Link to item Cite

The Effect of Patient Characteristics on 1 to 2-Year and Minimum 5-Year Outcomes After Total Ankle Arthroplasty.

Journal Article J Bone Joint Surg Am · February 6, 2019 BACKGROUND: Total ankle arthroplasty has shown durable improvements in patient-reported outcomes. However, the impact of common comorbidities and patient factors has not been fully characterized. The purpose of this study was to identify patient comorbidit ... Full text Link to item Cite

Possible Implications for Bundled Payment Models of Comorbidities and Complications as Drivers of Cost in Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · February 2019 BACKGROUND:: The Comprehensive Care for Joint Replacement (CJR) model provides bundled payments for in-hospital and 90-day postdischarge care of patients undergoing total ankle arthroplasty (TAA). Defining patient factors associated with increased costs du ... Full text Link to item Cite

Patient-Reported Outcomes Before and After Primary and Revision Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · January 2019 BACKGROUND:: Studies examining the clinical outcomes of revision total ankle arthroplasty (TAA) are sparse. Revision TAA surgery has become more common with availability of revision implants and refinement of bone-conserving primary implants. In this study ... Full text Link to item Cite

Increased Early Revision Rate With the INFINITY Total Ankle Prosthesis.

Journal Article Foot Ankle Int · January 2019 BACKGROUND:: A number of new 2-component total ankle arthroplasty systems that emphasize minimal bone resection have been introduced for which few clinical outcomes reports are available. Our aim was to identify the rate of early revision among patients re ... Full text Link to item Cite

Isolated Subtalar Arthrodesis for Avascular Necrosis of the Talus.

Journal Article J Surg Orthop Adv · 2019 Isolated subtalar arthrodesis has been attempted in talar avascular necrosis (AVN) patients to preserve the tibiotalar joint and potential revascularization. This article reports the efficacy of isolated subtalar arthrodesis in the setting of AVN. A retros ... Link to item Cite

Revision Surgery for Metal Component Failure in Total Ankle Arthroplasty.

Journal Article Foot Ankle Orthop · January 2019 BACKGROUND: Metal component failure in total ankle arthroplasty (TAA) is difficult to treat. Traditionally, conversion to an arthrodesis has been advocated. Revision TAA surgery has become more common with availability of revision implants and refinement o ... Full text Link to item Cite

Outcomes of Acute Hematogenous Periprosthetic Joint Infection in Total Ankle Arthroplasty Treated With Irrigation, Debridement, and Polyethylene Exchange.

Journal Article Foot Ankle Int · November 2018 BACKGROUND: Acute hematogenous periprosthetic joint infection (PJI) is defined in the literature as infection diagnosed and treated within 2 to 4 weeks from the onset of symptoms. In total hip and knee arthroplasty, irrigation and debridement (I&D) and pol ... Full text Link to item Cite

Simultaneous Intraoperative Measurement of Cadaver Ankle and Subtalar Joint Compression During Arthrodesis With Intramedullary Nail, Screws, and Tibiotalocalcaneal Plate.

Journal Article Foot Ankle Int · September 2018 BACKGROUND: Suboptimal tibiotalocalcaneal arthrodesis (TTCA) fusion rates may result from inadequate compression that increases motion and interferes with bony bridging. The aim of this study was to evaluate compressive forces at the ankle and subtalar joi ... Full text Link to item Cite

Patient Risk Factors Do Not Impact 90-Day Readmission and Emergency Department Visitation After Total Ankle Arthroplasty: Implications for the Comprehensive Care for Joint Replacement (CJR) Bundled Payment Plan.

Journal Article J Bone Joint Surg Am · August 1, 2018 BACKGROUND: The Comprehensive Care for Joint Replacement (CJR) model provides bundled payments for in-hospital care and care within 90 days following discharge for Medicare beneficiaries undergoing lower-extremity joint replacement involving the hip, knee, ... Full text Link to item Cite

Design Rationale for Total Ankle Arthroplasty Systems: An Update.

Journal Article J Am Acad Orthop Surg · May 15, 2018 The design of total ankle arthroplasty systems is evolving as a result of findings from longer-term studies. Our understanding of modes of failure has increased, and surgical techniques have become more refined. Currently, five total ankle arthroplasty sys ... Full text Link to item Cite

Degenerative ankle pathology

Chapter · January 1, 2018 The treatment of the various types of ankle arthritis is specific to the cause, but ultimately surgical management is similar when end-stage degenerative changes are present in the joint, regardless of etiology. Understanding the origin of the loss of cart ... Cite

Keeping It in the Fairway: Golf Handicap Following Total Ankle Arthroplasty

Journal Article Foot and Ankle Orthopaedics · January 1, 2018 Background: Total ankle arthroplasty (TAA) provides a surgical alternative to tibiotalar arthrodesis when treating end-stage ankle arthritis. TAA preserves range of motion at the tibiotalar joint leading to improved postoperative function. Many patients wh ... Full text Cite

Comparison of Posterior Approach With Intramedullary Nailing Versus Lateral Transfibular Approach With Fixed-Angle Plating for Tibiotalocalcaneal Arthrodesis.

Journal Article Foot Ankle Int · December 2017 BACKGROUND: A variety of operative approaches and fixation techniques have been described for tibiotalocalcaneal (TTC) arthrodesis. The intramedullary (IM) nail and lateral, fixed-angle plating are commonly used because of ease of use and favorable biomech ... Full text Link to item Cite

Midterm Outcomes of a Fixed-Bearing Total Ankle Arthroplasty With Deformity Analysis.

Journal Article Foot Ankle Int · December 2017 BACKGROUND: We present our results with an INBONE I (Wright Medical, Memphis, TN) prosthesis that have a minimum of 4 to 10 years of follow-up and include a preoperative deformity analysis on outcomes. METHODS: A consecutive series of 149 patients, from 20 ... Full text Link to item Cite

Midterm Results of the Salto Talaris Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · November 2017 BACKGROUND: The Salto Talaris total ankle replacement is a modern fixed-bearing implant used to treat symptomatic ankle arthritis with the goals of providing pain relief, restoring mechanical alignment, and allowing motion of the ankle joint. The goal of t ... Full text Link to item Cite

Liposomal Bupivacaine Versus Continuous Popliteal Sciatic Nerve Block in Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · November 2017 BACKGROUND: Liposomal bupivacaine (LB) is widely used in joint arthroplasty, but there is little reported on the use of LB in foot and ankle surgery. Continuous popliteal sciatic nerve block (CPSNB) is more commonly used for major foot and ankle reconstruc ... Full text Link to item Cite

Hindfoot Arthritis Progression and Arthrodesis Risk After Total Ankle Replacement.

Journal Article Foot Ankle Int · November 2017 BACKGROUND: The purpose of this study was to assess the radiographic progression of subtalar and talonavicular degenerative joint disease in a series of patients who had undergone TAA (total ankle arthroplasty) with minimum follow-up of 5 years. METHODS: T ... Full text Link to item Cite

Ratio of Range of Motion of the Ankle and Surrounding Joints After Total Ankle Replacement: A Radiographic Cohort Study.

Journal Article J Bone Joint Surg Am · April 5, 2017 BACKGROUND: This study attempted to identify where motion occurs after total ankle replacement, the difference in range-of-motion contributions between fixed-bearing and mobile-bearing total ankle replacements, and the contribution of abnormal peritalar mo ... Full text Link to item Cite

Operative Wound Complications Following Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · April 2017 BACKGROUND: Wound complications following total ankle replacement (TAR) potentially lead to devastating consequences. The aim of this study was to compare the operative and demographic differences in patients with and without major wound problems which req ... Full text Link to item Cite

In-line and roller skating

Chapter · February 8, 2017 At the height of their popularity, roller skating and in-line skating were a major public health concern. Roughly $4 billion dollars were spent in 1997 treating injuries related to these recreational activities. While most of these sports-specific injuries ... Full text Cite

Subtalar, chopart, and lisfranc joint degeneration

Chapter · February 8, 2017 Arthritis of the foot is a frequent source of chronic pain and disability in both recreational and competitive athletes that prompts presentation to the foot and ankle surgeon. Causes of arthritis are multiple and generally include primary degenerative, in ... Full text Cite

Surgical Treatment of Bony and Soft-Tissue Impingement in Total Ankle Arthroplasty.

Journal Article Foot Ankle Spec · February 2017 BACKGROUND: Impingement may be an underreported problem following modern total ankle replacements (TARs). The etiology of impingement is unclear and likely multifactorial. Because of the lack of conservative treatment options for symptomatic impingement af ... Full text Link to item Cite

Anterior Plating with Retention of Nail for Ankle Nonunion after Tibiotalocalcaneal Arthrodesis

Journal Article Techniques in Foot and Ankle Surgery · January 1, 2017 Tibiotalocalcaneal arthrodesis (TTCA) by retrograde intramedullary nailing (RIMN) may result in isolated nonunion of the ankle joint. In these cases, revision TTCA with RIMN may be technically difficult and carry some morbidity. However, if the subtalar jo ... Full text Cite

Determining the Cost-Savings Threshold and Alignment Accuracy of Patient-Specific Instrumentation in Total Ankle Replacements.

Journal Article Foot Ankle Int · January 2017 BACKGROUND: Traditional intraoperative referencing for total ankle replacements (TARs) involves multiple steps and fluoroscopic guidance to determine mechanical alignment. Recent adoption of patient-specific instrumentation (PSI) allows for referencing to ... Full text Link to item Cite

Iatrogenic Arteriovenous Fistula With Associated Pseudoaneurysm of Posterior Tibial Artery After Revision Total Ankle Arthroplasty: A Case Report.

Journal Article J Foot Ankle Surg · 2017 Iatrogenic vascular injuries in elective orthopedic surgery are rare. However, these are important complications to recognize early and treat appropriately because the potential sequelae can be devastating. Arteriovenous fistula of the lower extremity afte ... Full text Link to item Cite

Association of Cigarette Use and Complication Rates and Outcomes Following Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · October 2016 BACKGROUND: Tobacco use is a known risk factor for increased perioperative complications and having worse functional outcomes in many orthopedic procedures. To date, no study has elucidated the effect of cigarette smoking on complications or functional out ... Full text Link to item Cite

Tibiotalar Arthrodesis Conversion to Total Ankle Arthroplasty.

Journal Article JBJS Essent Surg Tech · September 28, 2016 INTRODUCTION: Although conversion of the painful ankle arthrodesis to total ankle arthroplasty remains controversial, this surgical modality has satisfactorily expanded the treatment armamentarium for addressing this pathology. STEP 1 PREOPERATIVE PREPARAT ... Full text Link to item Cite

Secondary Arthrodesis After Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · July 2016 BACKGROUND: While it is thought that stresses through the subtalar and talonavicular joints will be decreased after total ankle replacement (TAR) relative to ankle fusion, progressive arthritis or deformity of these joints may require a fusion after a succ ... Full text Link to item Cite

Computed Tomographic Evaluation of Joint Geometry in Patients With End-Stage Ankle Osteoarthritis.

Journal Article Foot Ankle Int · June 2016 BACKGROUND: Deformation of the talus and the distal tibia can be frequently observed during ankle joint osteoarthritis (OA). The aim of this study was to objectify these morphologic changes. We hypothesized that a flattening of the talus and a broadening o ... Full text Link to item Cite

Soft Tissue Reconstruction After Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · May 2016 BACKGROUND: Wound complications following total ankle replacement (TAR) may potentially lead to devastating consequences. Soft tissue coverage of the prosthesis and tendons with a flap potentially prevent a catastrophic cascade leading to infection and imp ... Full text Link to item Cite

Technique of Arthroscopic Treatment of Impingement After Total Ankle Arthroplasty.

Journal Article Arthrosc Tech · April 2016 Rates of medial and/or lateral gutter impingement after total ankle replacement are not insignificant. If impingement should occur, it typically arises an average of 17 months after total ankle replacement. Our patient underwent treatment for right ankle m ... Full text Link to item Cite

Outcomes of Tibiotalocalcaneal Arthrodesis Through a Posterior Achilles Tendon-Splitting Approach.

Journal Article Foot Ankle Int · March 2016 BACKGROUND: A number of operative approaches have been described to perform a tibiotalocalcaneal (TTC) arthrodesis. Here we present the largest reported series of a posterior Achilles tendon-splitting approach for TTC fusion. METHODS: With institutional re ... Full text Link to item Cite

Outcomes of Bone Grafting of Bone Cysts After Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · February 2016 BACKGROUND: The operative treatment of bone cysts after total ankle replacements (TAR) is not well described. Bone cysts may cause component migration, implant failure, and pain. Surgery is performed on cysts with the goals of reducing pain and preventing ... Full text Link to item Cite

The Effect of Obesity on Functional Outcomes and Complications in Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · February 2016 BACKGROUND: The prevalence of obesity in the United States is staggering. Currently, the effect of obesity on third-generation total ankle replacement (TAR) is unknown. METHODS: We prospectively identified a consecutive series of 455 primary TARs operated ... Full text Link to item Cite

Conversion of Tibiotalar Arthrodesis to Total Ankle Arthroplasty.

Journal Article J Bone Joint Surg Am · December 16, 2015 BACKGROUND: Conversion of ankle arthrodesis to total ankle arthroplasty remains controversial. Although satisfactory outcomes have been published, not all foot and ankle surgeons performing total ankle arthroplasty have embraced this modality. METHODS: Twe ... Full text Link to item Cite

Total Ankle Arthroplasty Following Prior Infection About the Ankle.

Journal Article Foot Ankle Int · December 2015 BACKGROUND: We evaluated whether a history of prior infection about the native ankle joint, bone, or soft tissues was associated with a higher rate of infection following total ankle arthroplasty (TAA) when compared with that of primary TAA in the general ... Full text Link to item Cite

Impact of Diabetes on Outcome of Total Ankle Replacement.

Journal Article Foot Ankle Int · October 2015 BACKGROUND: As the incidence of diabetes mellitus (DM) grows, managing patients with diabetes and concomitant ankle arthritis poses a challenging clinical dilemma. While diabetes is known to be a risk factor for complications relating to open reduction and ... Full text Link to item Cite

Comparison of First- and Second-Generation Fixed-Bearing Total Ankle Arthroplasty Using a Modular Intramedullary Tibial Component.

Journal Article Foot Ankle Int · August 2015 BACKGROUND: This series reviews the clinical and radiographic outcomes of patients who underwent total ankle replacement (TAR) using first- and second-generations of a modern fixed-bearing prosthesis utilizing a modular intramedullary stem. METHODS: A cons ... Full text Link to item Cite

Effect of Age on Outcomes in Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · August 2015 BACKGROUND: Little is known about the efficacy and durability of total ankle arthroplasty (TAA) in younger patients. The purpose of this study was to determine the effect of age on the clinical, radiographic, and patient-reported outcomes of patients with ... Full text Link to item Cite

Low incidence of symptomatic thromboembolic events after total ankle arthroplasty without routine use of chemoprophylaxis.

Journal Article Foot Ankle Int · June 2015 BACKGROUND: There is little evidence regarding the incidence of symptomatic venous thromboembolism (VTE) following total ankle arthroplasty (TAA) to allow formulation of treatment recommendations. The purpose of this study was to determine the incidence of ... Full text Link to item Cite

The adult ball-and-socket ankle joint: surgical management of late ankle and subtalar arthritis.

Journal Article Foot Ankle Spec · April 2015 BACKGROUND: We review the surgical management of 4 adult patients with ball-and-socket ankle deformity who developed end-stage subtalar and/or ankle joint arthritis. METHODS: We retrospectively reviewed a series of 4 adult patients with ball-and-socket ank ... Full text Link to item Cite

Musculoskeletal ultrasound education: orthopaedic resident ability following a multimedia tutorial.

Journal Article J Surg Orthop Adv · 2015 Musculoskeletal ultrasound (MSK-US) is a quick and effective imaging tool that can be utilized by orthopaedic surgeons to identify common musculoskeletal pathology such as ankle tendinopathy. This study evaluated the ability of 15 orthopaedic surgery resid ... Link to item Cite

Early to mid-term results of fixed-bearing total ankle arthroplasty with a modular intramedullary tibial component.

Journal Article J Bone Joint Surg Am · December 3, 2014 BACKGROUND: There has been a continuing increase in the use of total ankle arthroplasty for the treatment of end-stage ankle arthritis. Our aim was to determine the clinical, radiographic, and functional outcomes of total ankle arthroplasties done with a p ... Full text Link to item Cite

Calcaneal "Z" osteotomy effect on hindfoot varus after triple arthrodesis in a cadaver model.

Journal Article Foot Ankle Int · December 2014 BACKGROUND: Triple arthrodesis involves subtalar, talonavicular, and calcaneocuboid joint fusion and is performed to relieve pain and correct deformity. Complications include malunion resulting in equinovarus and lateral column overload, which can lead to ... Full text Link to item Cite

Radiation exposure in total ankle replacement.

Journal Article Foot Ankle Int · November 2014 BACKGROUND: Radiation exposure from diagnostic imaging procedures is associated with increased cancer risk. No published data currently exist regarding ionizing radiation exposure in total ankle replacement surgery. This study quantified intraoperative flu ... Full text Link to item Cite

The influence of concomitant triceps surae lengthening at the time of total ankle arthroplasty on postoperative outcomes.

Journal Article Foot Ankle Int · September 2014 BACKGROUND: Concomitant procedures are being performed with total ankle replacement (TAR) to improve alignment, function, and mobility. The purpose of this study was to examine the differences in outcomes between patients who had a concomitant triceps sura ... Full text Link to item Cite

Total Ankle Arthroplasty with a Modern Fixed-Bearing System: The Salto Talaris Prosthesis.

Journal Article JBJS Essent Surg Tech · September 2014 INTRODUCTION: The Salto Talaris total ankle replacement is a fixed-bearing system that integrates a mobile tibial trial component that allows self-alignment on the distal tibial resected surface, as guided by the talar component. STEP 1 PREOPERATIVE PLANNI ... Full text Link to item Cite

Author Response.

Journal Article Foot Ankle Int · August 2014 Full text Link to item Cite

Patient-Reported Outcomes, Function, and Gait Mechanics After Fixed and Mobile-Bearing Total Ankle Replacement.

Journal Article J Bone Joint Surg Am · June 18, 2014 BACKGROUND: The popularity of total ankle replacement as a treatment for end-stage arthritis continues to grow. The purpose of this study was to assess changes in ankle kinetics and kinematics from a preoperative time point through two years postoperativel ... Full text Link to item Cite

Outcomes After Total Ankle Replacement in Association With Ipsilateral Hindfoot Arthrodesis.

Journal Article Foot Ankle Int · June 2014 BACKGROUND: Ipsilateral hindfoot arthrodesis in combination with total ankle replacement (TAR) may diminish functional outcome and prosthesis survivorship compared to isolated TAR. We compared the outcome of isolated TAR to outcomes of TAR with ipsilateral ... Full text Open Access Link to item Cite

A comparison of nonlocking semitubular plates and precontoured locking plates for first metatarsophalangeal joint arthrodesis.

Journal Article Foot Ankle Int · May 2014 BACKGROUND: First metatarsophalangeal (MTP) joint arthrodesis is a successful, commonly performed procedure for many conditions affecting this joint. The purpose of this retrospective study was to compare the clinical and radiographic outcomes between pati ... Full text Link to item Cite

Bilateral differences in gait mechanics following total ankle replacement: a two year longitudinal study.

Journal Article Clin Biomech (Bristol, Avon) · April 2014 BACKGROUND: Following total ankle replacement (TAR) patients demonstrate improvements in gait. The purpose of this study was to assess the changes in gait symmetry from a pre-operative assessment through two years following TAR. METHODS: Seventy-eight pati ... Full text Link to item Cite

Biomechanical comparison of stability of tibiotalocalcaneal arthrodesis with two different intramedullary retrograde nails.

Journal Article Foot Ankle Surg · March 2014 BACKGROUND: The aim of the study was to compare the initial construct stability of two retrograde intramedullary nail systems for tibiotalocalcaneal arthrodesis (TTCF) (A3, Small Bone Innovations; HAN, Synthes) in a biomechanical cadaver study. METHODS: Ni ... Full text Link to item Cite

Silfverskiold's test in total ankle replacement with gastrocnemius recession.

Journal Article Foot Ankle Int · February 2014 BACKGROUND: For patients undergoing primary total ankle replacement (TAR) with an equinus contracture, gastrocnemius recession may be performed to increase dorsiflexion. We examined whether gastrocnemius recession would significantly increase dorsiflexion ... Full text Link to item Cite

Plantar loading during jumping while wearing a rigid carbon graphite footplate.

Journal Article Gait Posture · February 2014 Fifth metatarsal stress fractures are common in sports and often result in delayed and non-union. The purpose of this study was to examine the effect of a rigid carbon graphite footplate (CGF) on plantar loading during take-off and landing from a jump. Nin ... Full text Open Access Link to item Cite

Total ankle arthroplasty and perioperative pain.

Journal Article J Surg Orthop Adv · 2014 Total ankle arthroplasty is a procedure that has been shown to greatly improve patient quality of life. However, it is associated with moderate to severe postoperative pain. Commonly used strategies for pain control include opioids, multimodal analgesia wi ... Link to item Cite

Equivalent pain relief with and without resection of the posterior tibial tendon in adult flatfoot reconstruction.

Journal Article J Surg Orthop Adv · 2014 Transfer of the flexor digitorum longus (FDL) is indicated to compensate for the loss of posterior tibial tendon (PTT) function in the treatment of adult acquired flatfoot deformity (AAFD). The aim of this study was to determine the effect of PTT resection ... Link to item Cite

Comparison of extramedullary versus intramedullary referencing for tibial component alignment in total ankle arthroplasty.

Journal Article Foot Ankle Int · December 2013 BACKGROUND: The majority of total ankle arthroplasty (TAA) systems use extramedullary alignment guides for tibial component placement. However, at least 1 system offers intramedullary referencing. In total knee arthroplasty, studies suggest that tibial com ... Full text Open Access Link to item Cite

Differences in outcomes following total ankle replacement in patients with neutral alignment compared with tibiotalar joint malalignment.

Journal Article J Bone Joint Surg Am · November 6, 2013 BACKGROUND: Excessive tibiotalar malalignment in the coronal plane has been considered by some to be a contraindication to total ankle replacement. The purpose of the present study was to compare clinical outcomes and physical performance measures accordin ... Full text Link to item Cite

A biomechanical analysis of two anterior ankle arthrodesis systems.

Journal Article Foot Ankle Int · July 2013 BACKGROUND: An increasingly popular ankle fusion method uses plates and screws positioned on the anterior aspect of the tibiotalar joint. This study compared the mechanical properties of 2 contemporary plate systems for ankle arthrodesis, one based on a si ... Full text Link to item Cite

Early prospective clinical results of a modern fixed-bearing total ankle arthroplasty.

Journal Article J Bone Joint Surg Am · June 5, 2013 BACKGROUND: Several fixed-bearing total ankle arthroplasty systems are available in the United States. We report on the early clinical results of the largest known cohort of patients in the United States who received a Salto Talaris total ankle replacement ... Full text Link to item Cite

Revision INBONE total ankle replacement.

Journal Article Clin Podiatr Med Surg · April 2013 The INBONE total ankle replacement is a unique modular ankle replacement that has the ability to serve as both a primary and a revision total ankle replacement. Despite its versatility, it may need to be revised, either because of poor patient selection, t ... Full text Link to item Cite

Single-incision medial approach for double arthrodesis of hindfoot in posterior tibialis tendon dysfunction.

Journal Article Foot Ankle Int · March 2013 BACKGROUND: Triple arthrodesis through a 2-incision approach has been the primary salvage procedure for rigid hindfoot malalignment resulting from posterior tibialis dysfunction. However, complications like calcaneocuboid joint nonunion, lateral wound dehi ... Full text Link to item Cite

Agility to INBONE: anterior and posterior approaches to the difficult revision total ankle replacement.

Journal Article Clin Podiatr Med Surg · January 2013 Total ankle replacement is now acknowledged as a viable alternative to ankle arthrodesis for end-stage ankle arthritis. The authors present a series of 14 patients who were converted from the Agility total ankle replacement to an INBONE total ankle replace ... Full text Link to item Cite

Compression screw fixation of the syndesmosis.

Journal Article Foot Ankle Int · October 2012 BACKGROUND: Screw fixation of syndesmotic injuries facilitates ligament healing and restoration of ankle stability, but little information regarding screw performance is available. This study quantified the reduction obtained with three common 2-screw conf ... Full text Link to item Cite

The effect of modified Broström-Gould repair for lateral ankle instability on in vivo tibiotalar kinematics.

Journal Article Am J Sports Med · September 2012 BACKGROUND: Lateral ankle instability leads to an increased risk of tibiotalar joint osteoarthritis. Previous studies have found abnormal tibiotalar joint motions with lateral ankle instability that may contribute to this increased incidence of osteoarthri ... Full text Link to item Cite

J. Leonard Goldner Award 2011: changes in pain, function, and gait mechanics two years following total ankle arthroplasty performed with two modern fixed-bearing prostheses.

Journal Article Foot Ankle Int · July 2012 BACKGROUND: Total ankle replacement (TAR) continues to grow as an alternative to arthrodesis for patients who suffer from end-stage ankle arthritis. The purpose of this study was to examine changes in gait mechanics from before surgery to 1 and 2 years aft ... Full text Link to item Cite

Arthroscopic debridement: effective treatment for impingement after total ankle arthroplasty.

Journal Article Curr Rev Musculoskelet Med · June 2012 Total ankle arthroplasty has been gaining significant popularity for the treatment of ankle arthritis. Subsequent rates of revision surgery secondary to symptomatic bony impingement have been reported in 6-45 % of cases. Arthroscopic debridement of bony im ... Full text Link to item Cite

INBONE total ankle arthroplasty

Chapter · March 28, 2012 Cite

Hallux valgus: Proximal first metatarsal osteotomies

Chapter · January 1, 2012 In general, moderate to severe hallux valgus deformity with metatarsus primus varus demands correction with a first metatarsal shaft osteotomy; in such deformity, distal osteotomies are associated with a high recurrence rate. Several different first metata ... Full text Cite

Structural allograft reconstruction for large osteochondral lesions of the talus

Journal Article Techniques in Foot and Ankle Surgery · December 1, 2011 Most osteochondral lesions of the talus (OLTs) may be managed successfully with arthroscopic debridement in combination with either microfracture or drilling. However, treatment with debridement and microfracture/drilling tends to be less reliable in large ... Full text Cite

Coronal plane ankle alignment, gait, and end-stage ankle osteoarthritis.

Journal Article Osteoarthritis Cartilage · November 2011 OBJECTIVE: Unilateral ankle osteoarthritis (OA) is a debilitating condition which may lead to limb deformity, severe pain, and functional disability due to tibiotalar malalignment and gait dysfunction. The purpose of this study was to determine if coronal ... Full text Link to item Cite

Results of total ankle arthroplasty.

Journal Article J Bone Joint Surg Am · August 3, 2011 Most published reports related to total ankle arthroplasty have a fair to poor-quality level of evidence. Comparative studies with a fair to good-quality level of evidence suggest that total ankle arthroplasty provides equal pain relief and possibly improv ... Full text Link to item Cite

Lesser toe deformities.

Journal Article J Am Acad Orthop Surg · August 2011 Lesser toe deformities are caused by alterations in normal anatomy that create an imbalance between the intrinsic and extrinsic muscles. Causes include improper shoe wear, trauma, genetics, inflammatory arthritis, and neuromuscular and metabolic diseases. ... Full text Link to item Cite

Revision total ankle replacement: an early look at agility to INBONE.

Journal Article Foot Ankle Spec · August 2011 INTRODUCTION. The role of total ankle replacement (TAR) is expanding in the United States. As the number of ankles implanted increases, undoubtedly the number of failures will increase. Several reports in the literature have dealt with salvage of the faile ... Full text Link to item Cite

Talonavicular joint fixation using augmenting naviculocalcaneal screw in modified double hindfoot arthrodesis.

Journal Article Foot Ankle Int · March 2011 BACKGROUND: Triple arthrodesis and combined talonavicular/subtalar arthrodesis are procedures for hindfoot disorders. Achieving talonavicular joint fusion can be problematic. We hypothesized that talonavicular joint fixation bending stiffness could be incr ... Full text Link to item Cite

Validity of the posterior tibial edema sign in posterior tibial tendon dysfunction.

Journal Article Foot Ankle Int · February 2011 BACKGROUND: Posterior tibial tendon dysfunction (PTTD) is a common malady leading to acquired flatfoot, which frequently causes foot and ankle pain and swelling. We hypothesized that patients with PTTD and pitting edema along the course of the posterior ti ... Full text Link to item Cite

Total ankle replacement with subtalar arthrodesis: Management of combined ankle and subtalar arthritis

Journal Article Techniques in Foot and Ankle Surgery · December 1, 2010 Many articles have been written about total ankle replacement and subtalar arthrodesis performed independently from each other. To my knowledge, this is the first article written to address the management of combined ankle and subtalar arthritis. As such, ... Full text Cite

Dimensionality of measures for severe unilateral ankle arthritis.

Journal Article PM R · November 2010 OBJECTIVE: To analyze the dimensionality of 2 self-report outcome measures (Foot/Ankle Disability Index [FADI] and Short-Form [SF]-36), 3 biomechanical measures (stance and step symmetry measures, gait speed, and step width), 2 physical-performance measure ... Full text Link to item Cite

In vivo cartilage contact strains in patients with lateral ankle instability.

Journal Article J Biomech · September 17, 2010 Damage to the anterior talofibular ligament (ATFL) and cacaneofibular ligament (CFL) during an ankle sprain may be linked to the development of osteoarthritis. Although altered tibiotalar kinematics have been demonstrated, the effects of lateral ankle inst ... Full text Link to item Cite

The INBONE total ankle replacement

Journal Article Operative Techniques in Orthopaedics · September 1, 2010 Total ankle replacement represents an alternative to arthrodesis in the setting of advanced ankle arthrosis. The INBONE total ankle system is a Food and Drug Administration-approved, nonmobile-bearing implant with intramedullary modular stems that afford a ... Full text Cite

Biomechanical comparison of hallux valgus correction using the proximal chevron osteotomy fixed with a medial locking plate and the Ludloff osteotomy fixed with two screws.

Journal Article Clin Biomech (Bristol, Avon) · March 2010 BACKGROUND: For moderate-to-severe hallux valgus deformities with a 1-2 intermetatarsal angle in excess of 15 degrees , a proximal first metatarsal osteotomy is indicated. The ideal osteotomy has yet to be defined, but should inherently limit the incidence ... Full text Link to item Cite

INBONE total ankle arthroplasty

Journal Article Seminars in Arthroplasty JSES · January 1, 2010 The INBONE total ankle replacement has been in use since 2005. Although studies are not available regarding its success, it is increasingly being used because of its unique design. This design features a wide modular tibial stem onto which additional compo ... Full text Cite

Total ankle replacement systems available in the United States.

Journal Article Instr Course Lect · 2010 Ankle replacement continues to be a viable option for treating patients with ankle arthritis. Over the past 10 years, there has been a significant increase in the number of ankle replacement systems available for use. Current controversy centers on whether ... Link to item Cite

In vivo kinematics of the tibiotalar joint after lateral ankle instability.

Journal Article Am J Sports Med · November 2009 BACKGROUND: Previous studies have suggested that injury to the anterior talofibular ligament (ATFL) may be linked to altered kinematics and the development of osteoarthritis of the ankle joint. However, the effects of ATFL injury on the in vivo kinematics ... Full text Link to item Cite

Radiographic correlation of hallux MP fusion position and plate angle.

Journal Article Foot Ankle Int · September 2009 BACKGROUND: This study assessed the variability of plate bend in regard to final metatarsophalangeal (MP) fusion angles and toe-to-floor distance. We hypothesized that the final MP angle, the angle of the proximal phalanx to the floor, and the weightbearin ... Full text Link to item Cite

Prospective controlled trial of STAR total ankle replacement versus ankle fusion: initial results.

Journal Article Foot Ankle Int · July 2009 BACKGROUND: Mobile-bearing ankle replacements have become popular outside of the United States over the past two decades. The goal of the present study was to perform a prospective evaluation of the safety and efficacy of a mobile-bearing prosthesis to tre ... Full text Link to item Cite

Differences in plantar loading between flat and normal feet during different athletic tasks.

Journal Article Gait Posture · June 2009 The purpose of this study was to determine if foot type (flat or normal) resulted in loading differences during four sport-specific tasks (cross-cut, side-cut, shuttle run, and landing from a simulated lay-up). Twenty-two healthy subjects (12 normal feet a ... Full text Link to item Cite

Differences in plantar loading between training shoes and racing flats at a self-selected running speed.

Journal Article Gait Posture · April 2009 The purpose of this study was to examine the difference in plantar loading between two different running shoe types. We hypothesized that a higher maximum force, peak pressure, and contact area would exist beneath the entire foot while running in a racing ... Full text Link to item Cite

Correlation between static foot type measurements and clinical assessments.

Journal Article Foot Ankle Int · March 2009 BACKGROUND: An accurate and consistent differentiation of foot type is needed to assess appropriate treatments and to examine potential risk factors for acute and overuse injuries. MATERIALS AND METHODS: One hundred forty-seven members of the American Orth ... Full text Link to item Cite

Plantar loading comparisons between women with a history of second metatarsal stress fractures and normal controls.

Journal Article Am J Sports Med · February 2009 BACKGROUND: Stress fractures are common in athletics and are more prevalent in women. The current literature has not identified a reason for this gender difference. HYPOTHESIS: Women with a history of a second/third metatarsal stress fracture will demonstr ... Full text Link to item Cite

Oxygen tensiometry as a predictor of wound healing in total ankle arthroplasty.

Journal Article Acta Orthop Traumatol Turc · 2009 OBJECTIVES: Total ankle arthroplasty (TAA) typically involves an anterior approach to the ankle that has been shown to have a risk for wound healing problems. We explored the possibility of using oxygen tensiometry as a predictor of incision healing proble ... Full text Link to item Cite

Subtalar distraction arthrodesis through a posterior approach.

Journal Article Foot Ankle Int · December 2008 BACKGROUND: Subtalar arthrodesis is a common procedure for treating subtalar arthrosis. An isolated lateral incision can be used as an approach to subtalar fusion alone. However, it can be a difficult approach for correction of varus or valgus hindfoot def ... Full text Link to item Cite

The effect of foot type on in-shoe plantar pressure during walking and running.

Journal Article Gait Posture · October 2008 The purpose of this study was to determine if low arch feet have altered plantar loading patterns when compared to normal feet during both walking and running. Fifty healthy subjects (34 normal feet, 16 flat feet) walked and ran five trials each at standar ... Full text Link to item Cite

Design features of current total ankle replacements: implants and instrumentation.

Journal Article J Am Acad Orthop Surg · September 2008 Development of total ankle replacements began nearly 40 years ago. The initial devices were cemented and highly constrained, and they eventually failed. These were followed by second-generation cementless ankle implants with a fixed (two-component design) ... Link to item Cite

Distinguishing Jones and proximal diaphyseal fractures of the fifth metatarsal.

Journal Article Clin Orthop Relat Res · August 2008 UNLABELLED: Jones and proximal diaphyseal fractures of the fifth metatarsal are in close anatomic proximity and often are difficult to differentiate. We determined whether it is necessary to differentiate between these two diagnoses. Retrospectively, the t ... Full text Link to item Cite

Postoperative evaluation of the total ankle arthroplasty.

Journal Article AJR Am J Roentgenol · April 2008 OBJECTIVE: The purpose of this article is to review the basic design features of second-generation total ankle arthroplasty components and to illustrate the normal and abnormal postoperative imaging features associated with such devices. The usefulness of ... Full text Link to item Cite

Total ankle arthroplasty.

Journal Article Instr Course Lect · 2008 Recent investigations support the belief that ankle replacement represents an attractive surgical alternative to arthrodesis for patients with advanced ankle arthritis. Although longer follow-up is necessary for total ankle arthroplasty (TAA) to displace a ... Link to item Cite

Forefoot amputation with limb revascularization: the effects of amputation, timing, and wound closure on the peripheral vascular bypass graft site.

Journal Article Foot Ankle Int · June 2007 BACKGROUND: Much has been written about the effects of successful arterial bypass on forefoot surgery for ulceration and gangrene. This study examined the effects of the amputation site and timing on the arterial bypass graft site. METHODS: We reviewed the ... Full text Link to item Cite

Transfer of the flexor digitorum longus for the correction of lesser-toe deformities.

Journal Article Foot Ankle Int · April 2007 BACKGROUND: This study reviewed the results, complications, and patient satisfaction rates of a modified technique of flexor-to-extensor tendon transfer for correction of lesser-toe deformities. METHODS: Records of 38 patients (79 toes; 46 feet) were ident ... Full text Link to item Cite

Describing the medial longitudinal arch using footprint indices and a clinical grading system.

Journal Article Foot Ankle Int · April 2007 BACKGROUND: The current literature is not clear regarding the best method of determining medial longitudinal arch (MLA) height. Differences in MLA height can significantly alter lower extremity biomechanics; therefore, an accurate and reproducible assessme ... Full text Link to item Cite

Bunion surgery using locking-plate fixation of proximal metatarsal chevron osteotomies.

Journal Article Foot Ankle Int · March 2007 BACKGROUND: Symptomatic large hallux valgus deformities commonly require surgical intervention with a proximal metatarsal osteotomy. A number of fixation methods have been described for proximal chevron osteotomies; one of the most recent is locking plates ... Full text Link to item Cite

The reliability and reproducibility of foot type measurements using a mirrored foot photo box and digital photography compared to caliper measurements.

Journal Article J Biomech · 2007 UNLABELLED: The height of the medial longitudinal arch (MLA) is thought to be a predisposing factor to various lower extremity injuries. Discrepancy exists as to whether MLA height plays a role in injury prevention. The purpose of this study was to determi ... Full text Link to item Cite

Peroneal tendon tears: return to sports after operative treatment.

Journal Article Foot Ankle Int · January 2007 BACKGROUND: Operative treatment has become the standard for peroneal tendon tears when nonoperative management fails. Successful return to sports has been reported in previous studies. We evaluated 30 patients who had operative treatment of peroneal tears. ... Full text Link to item Cite

Focus on total ankle arthroplasty.

Journal Article Orthopedics · November 2006 Full text Link to item Cite

Anterior iliac crest bone grafting in foot and ankle surgery

Journal Article Techniques in Foot and Ankle Surgery · September 1, 2006 Bone grafting has been aFSn integral part of orthopaedic surgery for more than 100 years. In the field of foot and ankle surgery, with its focus on reconstruction, fusions of the joints of the foot are a common procedure, and these often require supplement ... Full text Cite

Imaging characteristics of bone graft materials.

Journal Article Radiographics · 2006 Bone graft materials are widely used in reconstructive orthopedic procedures to promote new bone formation and bone healing, provide a substrate and scaffolding for development of bone structure, and function as a means for direct antibiotic delivery. Bone ... Full text Link to item Cite

Autologous bone from hip or knee replacement in simultaneous foot or ankle arthrodeses.

Journal Article Am J Orthop (Belle Mead NJ) · November 2005 Simultaneous operations on the lower extremities may potentially benefit some patients. However, the only literature discussing simultaneous operations has been limited to bilateral simultaneous total hip or knee replacements. The cases of 10 patients who ... Link to item Cite

Removal of the second toe for severe hammertoe deformity in elderly patients.

Journal Article Foot Ankle Int · May 2005 BACKGROUND: Our hypothesis was that amputation of an isolated, painful second hammertoe is beneficial and has less morbidity than forefoot reconstruction when other associated deformities are not clinically painful. The objective was to evaluate the clinic ... Full text Link to item Cite

Goniometric versus computerized angle measurement in assessing hallux valgus.

Journal Article Foot Ankle Int · March 2005 BACKGROUND: Digital workstations with high-resolution monitors are replacing standard radiographs for image evaluation and interpretation. Radiographic angles in the foot have been evaluated for interobserver and intraobserver reliability with plain films, ... Full text Link to item Cite

Morbidity associated with anterior iliac crest bone grafting in foot and ankle surgery.

Journal Article Foot Ankle Int · February 2005 BACKGROUND: Substitutes for bone graft have been advocated to avoid the potential morbidity associated with harvest of autogenous iliac crest graft. However, no current commercially available graft equals autogenous bone's osteoinductive and osteoconductiv ... Full text Link to item Cite

Intraoperative evaluation of limb length in hip arthroplasty using a single AP radiograph.

Journal Article Hip Int · 2005 Previous methods for determining limb length during hip arthroplasty have depended on physical examination and direct measurement techniques. A radiographic technique for assessing limb length intraoperatively with a single anteroposterior (AP) pelvis radi ... Full text Link to item Cite

Accuracy of haptic assessment of patellar symmetry in total knee arthroplasty.

Journal Article J Arthroplasty · August 2004 Resection resulting in asymmetrically thick patellar arthroplasty in knee arthroplasty may lead to increased compression forces, wear, fracture, or loss of quadriceps power. Assessing the cut patella between the thumb and forefinger (haptic assessment) rep ... Full text Link to item Cite

Metatarsal neck osteotomy with proximal interphalangeal joint resection fixed with a single temporary pin.

Journal Article Foot Ankle Int · March 2004 BACKGROUND: Screws have been recommended for fixation of the site of the metatarsal osteotomy. METHODS: A report is presented on one surgeon's experience with a temporary, single Kirschner wire instead of screws for fixation of metatarsal neck osteotomies ... Full text Link to item Cite

Bunionette deformity correction with distal chevron osteotomy and single absorbable pin fixation.

Journal Article Foot Ankle Int · November 2003 Between January 1997 and July 2000, 10 patients with symptomatic bunionette deformity underwent 12 distal fifth metatarsal chevron osteotomies in which an absorbable poly-p-dioxanone suture (PDS) pin was used for fixation. Of the 10 patients, nine were fem ... Full text Link to item Cite

Salvage technique for treatment of periplafond tibial fractures: the modified fibula-pro-tibia procedure.

Journal Article Foot Ankle Int · March 2003 We describe a technique of fixation for treatment of distal tibia periplafond fractures and nonunions that uses a modification of the principle of the fibula-pro-tibia procedure (fusing the tibia and fibula together to create a one-bone lower leg). The fib ... Full text Link to item Cite

Adjacent interdigital nerve irritation: single incision surgical treatment.

Journal Article Foot Ankle Int · November 2002 Twenty-three patients with clinical signs of adjacent intermetatarsal nerve irritation who underwent adjacent nerve release with single-nerve excision through one incision were studied. Mean follow-up was 11 months. Of 21 patients interviewed, 19 (90%) had ... Full text Link to item Cite

Residual bacterial contamination after surgical preparation of the foot or ankle with or without alcohol.

Journal Article Foot Ankle Int · October 2002 To investigate the usefulness of a standard surgical preparation in prevention of surgical site contamination, 49 consecutive patients undergoing foot or ankle surgery were randomly assigned to standard preparation with chlorhexidine gluconate home scrubs ... Full text Link to item Cite

Surgical templates for orthopedic operative reports.

Journal Article Orthopedics · June 2002 Generating an operative report after a surgical procedure is a critical but time-consuming and expensive task for every physician. Use of a template can shorten this process. This article describes an easy method by which a physician can create a template ... Full text Link to item Cite

Single absorbable polydioxanone pin fixation for distal chevron bunion osteotomies.

Journal Article Foot Ankle Int · October 2001 The distal chevron osteotomy is a well-established technique for correction of symptomatic mild to moderate metatarsus primus varus with hallux valgus deformity. Fixation of the osteotomy ranges from none to bone pegs, Kirschner wires, screws, or absorbabl ... Full text Link to item Cite

Results of a second attempt at surgical repair of a failed initial rotator-cuff repair.

Journal Article J Bone Joint Surg Am · April 1984 Twenty-seven patients with twenty-seven involved shoulders underwent a second attempt at repair of an initial rotator-cuff repair that had failed. Factors associated with the failure of the initial repair included a massive or large tendon tear, damage to ... Link to item Cite

RESULTS OF A 2ND ATTEMPT AT SURGICAL REPAIR OF A FAILED INITIAL ROTATOR-CUFF REPAIR

Journal Article JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME · 1984 Full text Cite

Lumbar disc excision in children and adolescents.

Journal Article J Bone Joint Surg Am · September 1982 Fifty patients, all of whom were sixteen years old or younger, underwent discectomy for a herniated lumbar disc at the Mayo Clinic between 1950 and 1976. Ninety-four per cent of the patients had had excellent or good initial relief of symptoms after the in ... Link to item Cite