Scholars@Duke
Mark Erik Easley

Mark Erik Easley

Associate Professor of Orthopaedic Surgery
Orthopaedic Surgery
mark.e.easley@duke.edu
Box 2950 Med Ctr, Durham, NC 27710
5601 Arringdon Park Dr, Suite 300, Morrisville, NC 27560

Selected Publications

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

Higher BMI Is Associated With Wound Breakdown Following Resection of Haglund Deformity.

Journal Article Foot Ankle Int · January 2025 BACKGROUND: Haglund deformity is characterized by an enlarged posterosuperior calcaneus, often with inflammation of the retrocalcaneal bursa and Achilles tendon. This study aims to determine if obesity is associated with an increased rate of complications ... 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

The Role of Sleep Apnea in Postoperative Neurocognitive Disorders Among Older Noncardiac Surgery Patients: A Prospective Cohort Study.

Journal Article Anesth Analg · January 1, 2025 BACKGROUND: Obstructive sleep apnea is associated with increased dementia risk, yet its role in postoperative neurocognitive disorders is unclear. Here, we studied whether the severity of untreated obstructive sleep apnea is associated with the severity of ... 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

Complications Following Surgical Treatment of Haglund's Syndrome With and Without Flexor Hallucis Longus Tendon Transfer.

Journal Article J Am Acad Orthop Surg Glob Res Rev · December 1, 2024 BACKGROUND: In the surgical treatment of Haglund syndrome, combining a flexor hallucis longus (FHL) tendon transfer with Achilles tendon may improve plantarflexion strength and reduce strain on the repaired Achilles tendon. However, there is limited resear ... Full text Link to item Cite

Initial Safety of Total Talus Replacement Used to Treat Talar Avascular Necrosis.

Journal Article Foot Ankle Int · November 2024 BACKGROUND: Total talus replacement (TTR) implants are designed to replace the diseased talar anatomy, reduce pain, maintain ankle range of motion, and restore ankle function after conservative treatments have failed. Currently TTR implants are produced by ... Full text Link to item Cite

Radiographic and Clinical Outcomes of First Tarsometatarsal Joint Arthrodesis With a Biplanar Locking Plate System Versus the Modified Lapidus Technique With Crossed-Screw Fixation: A Retrospective Multicenter Comparison.

Journal Article HSS J · October 21, 2024 Background: Hallux valgus (HV) is recognized as a triplanar deformity. A biplanar locking plate (BLP) system corrects this deformity through first tarsometatarsal joint (TMTJ) arthrodesis, with specialized reduction tools and cutting guides. Yet the optima ... Full text Link to item Cite

Diabetic management and infection risk in total ankle arthroplasty.

Journal Article Foot Ankle Surg · October 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

Exploring Revision Total Ankle Arthroplasty Failures A Comparison Between Failed and Successful Revision Cases.

Journal Article Foot Ankle Spec · September 20, 2024 This study assesses the comorbidities that are associated with failed revision total ankle arthroplasty (TAA) and explores the outcomes following a failed revision TAA. A retrospective analysis was conducted on a cohort of patients who underwent a revision ... Full text Link to item Cite

Younger age correlates with increased gutter impingement rates after total ankle arthroplasty.

Journal Article Foot Ankle Surg · September 4, 2024 BACKGROUND: While total ankle arthroplasty (TAA) has evolved over the years with improved designs and enhanced bony fixation methods, it remains a technically demanding procedure with a risk of early postoperative complications. One of the most common comp ... Full text Link to item Cite

Surgical Management of Failed First Metatarsophalangeal Joint Arthroplasty.

Journal Article Foot Ankle Clin · September 2024 This article describes the etiology, clinical presentation, surgical management, and outcomes for treatment of the failed first metatarsophalangeal (MTP) joint arthroplasty. Failure following implant arthroplasty typically creates large osseous deficits an ... Full text Link to item Cite

Arthrodesis for Hallux Rigidus.

Journal Article Foot Ankle Clin · September 2024 First metatarsophalangeal (MTP) joint fusion, or arthrodesis, has been a cornerstone treatment for advanced joint degeneration since the 1950s, benefiting not only older patients but also younger individuals. The procedure boasts favorable long-term outcom ... 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

Outcomes of cobalt-chrome 3D-printed total talus replacement with and without combined total ankle replacement.

Journal Article Foot Ankle Surg · August 2, 2024 BACKGROUND: Collapse of the talus and peri-talar arthritis pose treatment challenges due to the anatomy and location of the talus as a keystone of the foot and ankle. Custom 3D-printed total talus replacement (TTR) and combined total ankle total talus repl ... Full text Link to item Cite

The INVISION Talar Component in Revision Total Ankle Arthroplasty: Analysis of Early Outcomes.

Journal Article Diagnostics (Basel) · July 26, 2024 INTRODUCTION: Launched in 2018 for revision total ankle arthroplasty (rTAA), the INVISION talar component addresses subsidence when poor talar bone stock is present. Due to the recency of the market-availability of the INVISION, studies evaluating its effi ... Full text Link to item Cite

Additional Procedures at the Time of Total Ankle Replacement Do Not Increase Risk of Short-term Complications: A Matched Cohort Analysis.

Journal Article Foot Ankle Orthop · July 2024 BACKGROUND: This retrospective cohort study compared short-term complication rates following total ankle arthroplasty (TAA), alone or with concomitant procedures. Secondary independent risk factors were also examined as they related to postoperative outcom ... Full text Link to item Cite

Revision Total Ankle Arthroplasty Using the INBONE II System.

Journal Article Foot Ankle Int · June 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

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

Open debridement of noninsertional achilles tendinopathy

Chapter · February 23, 2024 Although symptomatic Achilles tendinopathy can be managed nonoperatively (Ohberg and Alfredson, Knee Surg Sports Traumatol Arthrosc 12:(5)465-70, 2004, Ohberg et al., Br J Sports Med 38(1):8-11, 2004), histologic analysis of tissue obtained at the time of ... Full text 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

Subtalar Arthroscopy: Lateral Approach

Chapter · January 1, 2024 Lateral approach subtalar arthroscopy confers diagnostic and potentially therapeutic value in treating subtalar trauma, arthrofibrosis, impingement, and cartilage pathology. 1 The orthopedic literature suggests that establishing a definitive diagnosis of s ... Full text 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

Biomechanical Comparison of Nonlocked Minimally Invasive and Locked Open Achilles Tendon Simulated Rupture Repairs.

Journal Article Foot Ankle Int · September 2023 BACKGROUND: Open repair of Achilles tendon ruptures is associated with a risk of infection and other wound complications. Although percutaneous repairs reduce these complications, they may increase the risk of nerve injury. This study was designed to deter ... Full text Link to item Cite

Osteochondral Lesions of the Talus: Current Concepts in Diagnosis and Treatment

Journal Article Foot & Ankle Orthopaedics · August 6, 2023 Full text 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

Preoperative incongruent subtalar joint predicts less favorable clinical outcome in total ankle arthroplasty.

Journal Article Foot Ankle Surg · July 2023 BACKGROUND: This study aimed to determine the clinical effect of incongruent subtalar joint space on total ankle arthroplasty (TAA). METHODS: Thirty-four consecutive patients who underwent TAA were grouped according to the status of subtalar joint incongru ... 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 "Osteochondral Lesions of the Talus: Current Concepts in Diagnosis and Treatment".

Journal Article Foot Ankle Orthop · July 2023 Osteochondral lesions of the talus (OLTs) are a difficult pathologic entity to treat. They require a strong plan. Lesion size, location, chronicity, and characteristics such as displacement and the presence of subchondral cysts help dictate the appropriate ... Full text Open Access Link to item Cite

Decision-Making and Management of Tarsal Coalition in the Young Adult Patient: A Critical Analysis Review.

Journal Article JBJS Rev · June 1, 2023 » Tarsal coalitions most commonly affect the calcaneonavicular and talocalcaneal joints in up to 13% of the general population. They alter the mechanics of the subtalar joint, limiting inversion and eversion, and place excessive stress on neighboring joint ... Full text Link to item Cite

Total Ankle Arthroplasty for Posttraumatic Arthritis of the Ankle Joint

Chapter · January 1, 2023 The ankle joint is a complex structure, comprising articulations between the distal tibia, the fibula, and the talus and constrained by multiple surrounding ligaments. Despite the high proteoglycan synthesis rate of ankle joint chondrocytes, posttraumatic ... Full text Cite

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

Journal Article Foot Ankle Int · December 2022 BACKGROUND: End-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). No st ... Full text Link to item Cite

Double and Triple Tarsal Fusions in the Severe Rigid Flatfoot Deformity.

Journal Article Foot Ankle Clin · December 2022 A flatfoot deformity is a multiplanar foot deformity characterized by forefoot abduction and supination and hindfoot valgus. With progressive pathology, a rigid deformity may develop. In the setting of a rigid deformity, the appropriate procedure to use is ... Full text Link to item 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

Midterm Prospective Evaluation of Structural Allograft Transplantation for Osteochondral Lesions of the Talar Shoulder.

Journal Article Foot Ankle Int · July 2022 BACKGROUND: In cases of large osteochondral lesions of the talus (OLTs), fresh structural or bulk osteochondral allograft transplantation has yielded favorable outcomes in several retrospective and few prospective case series. The purpose of this study was ... Full text Link to item Cite

Treatment of Navicular Stress Fractures With an Algorithmic Approach.

Journal Article Foot Ankle Int · January 2022 BACKGROUND: Navicular stress fractures are becoming increasingly more common. There is no universal consensus on treatment. We provide an algorithm that we feel will be useful in determining treatment. METHODS: A retrospective study was performed on all pa ... Full text 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

Histological and Inflammatory Cytokine Analysis of Osteochondral Lesions of the Talus After Failed Microfracture: Comparison With Fresh Allograft Controls.

Journal Article Orthop J Sports Med · October 2021 BACKGROUND: The most common first-line treatment of osteochondral lesions of the talus (OLTs) is microfracture. Although many patients do well with this procedure, a number fail and require reoperation. The mechanism of failure of microfracture is unknown, ... Full text Open Access Link to item Cite

Avascular Necrosis of the Talus After Subchondroplasty.

Journal Article Foot Ankle Int · September 2021 BACKGROUND: Subchondroplasty (SCP) is a relatively new procedure, developed in 2007 for the treatment of bone marrow lesions (BMLs), that has shown promising results in the knee through several different case series. The foot and ankle literature, however, ... Full text Link to item Cite

Use of a Locking Plate and Drill Sleeves to Guide Dome-Shaped Supramalleolar Osteotomy: Technique Tip.

Journal Article Foot Ankle Int · September 2021 Level of Evidence: Level V, expert opinion. ... Full text Link to item 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

Intermediate-term Patient-Reported Outcomes and Radiographic Evaluation Following Intramedullary- vs Extramedullary-Referenced Total Ankle Replacement.

Journal Article Foot Ankle Int · May 2021 BACKGROUND: The purpose of this study was to report on the radiographic outcomes, clinical outcomes, and implant survivorship following extramedullary-referenced (EMr) vs intramedullary-referenced (IMr) total ankle replacement (TAR). METHODS: From May 2007 ... Full text 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

Biomechanical Effect on Joint Stability of Including Deltoid Ligament Repair in an Ankle Fracture Soft Tissue Injury Model With Deltoid and Syndesmotic Disruption.

Journal Article Foot Ankle Int · September 2020 BACKGROUND: The current operative standard of treatment for bimalleolar equivalent ankle fracture is open reduction and internal fixation (ORIF) of the lateral malleolus followed by syndesmotic stabilization if indicated. There is controversy surrounding t ... 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

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

The MARBLE Study Protocol: Modulating ApoE Signaling to Reduce Brain Inflammation, DeLirium, and PostopErative Cognitive Dysfunction.

Journal Article J Alzheimers Dis · 2020 BACKGROUND: Perioperative neurocognitive disorders (PND) are common complications in older adults associated with increased 1-year mortality and long-term cognitive decline. One risk factor for worsened long-term postoperative cognitive trajectory is the A ... Full text Open Access Link to item Cite

Foot and Ankle Injuries in Basketball

Chapter · January 1, 2020 Basketball has become a popular sport in the United States and across the world. Currently, there are an estimated 450 million basketball participants worldwide. The increase in basketball participation has led to an increase in the incidence of basketball ... Full text 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

Analysis of "old" proteins unmasks dynamic gradient of cartilage turnover in human limbs.

Journal Article Sci Adv · October 2019 Unlike highly regenerative animals, such as axolotls, humans are believed to be unable to counteract cumulative damage, such as repetitive joint use and injury that lead to the breakdown of cartilage and the development of osteoarthritis. Turnover of insol ... Full text Link to item 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

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

Peroneal tendon tears: When to use an allograft

Journal Article Techniques in Foot and Ankle Surgery · June 1, 2019 Allograft reconstruction of chronic peroneal tendon tears is a safe and effective option to help restore patient function and limit pain. Both the author's experience, along with cadaveric and clinical studies, have shown that this technique can restore fu ... Full text Cite

The INTUIT Study: Investigating Neuroinflammation Underlying Postoperative Cognitive Dysfunction.

Journal Article J Am Geriatr Soc · April 2019 BACKGROUND/OBJECTIVES: Every year, up to 40% of the more than 16 million older Americans who undergo anesthesia/surgery develop postoperative cognitive dysfunction (POCD) or delirium. Each of these distinct syndromes is associated with decreased quality of ... Full text Open Access 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

Lower Bone Density on Preoperative Computed Tomography Predicts Periprosthetic Fracture Risk in Total Ankle Arthroplasty.

Journal Article Foot Ankle Int · January 2019 BACKGROUND:: The effect of bone mineral density (BMD) on outcomes from total ankle arthroplasty (TAA) has not been studied. BMD can be estimated by measuring Hounsfield units (HU) on standard computed tomography (CT), which is frequently performed prior to ... 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

The Value of Motion: Patient-Reported Outcome Measures Are Correlated With Range of Motion in Total Ankle Replacement.

Journal Article Foot Ankle Spec · October 2018 BACKGROUND: The proposed benefit of total ankle replacement (TAR) over ankle fusion is preserved ankle motion, thus we hypothesized that an increase in range of motion (ROM) is positively correlated with validated patient-reported outcome measures (PROMs) ... Full text Link to item Cite

Amino Acid Profile of Synovial Fluid Following Intra-articular Ankle Fracture.

Journal Article Foot Ankle Int · October 2018 BACKGROUND: Post-traumatic osteoarthritis (PTOA) is a frequent complication in patients with a previous traumatic joint injury, and the pathophysiology is not well understood. The goal of this study was to characterize the biochemical signature of amino ac ... 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

Efficacy of Particulated Juvenile Cartilage Allograft Transplantation for Osteochondral Lesions of the Talus.

Journal Article Foot Ankle Int · March 2018 BACKGROUND: Particulated juvenile cartilage allograft transplantation (PJCAT) is a novel treatment option for osteochondral lesions of the talus (OLTs). It is typically employed as a salvage procedure after initial debridement and microfracture has failed ... Full text Link to item Cite

Prospective Evaluation of Structural Allograft Transplantation for Osteochondral Lesions of the Talar Shoulder.

Journal Article Foot Ankle Int · January 2018 BACKGROUND: Structural or bulk osteochondral allograft transplantation for shoulder talar osteochondral lesions as a salvage procedure has demonstrated efficacy in several retrospective reviews. The purpose of this study was to evaluate prospectively patie ... Full text Link to item Cite

Metatarsal Lengthening

Chapter · January 1, 2018 Full text Cite

Arthritides of the foot and ankle

Chapter · January 1, 2018 Cite

Osteochondral Lesions of the Talus: Current Concepts in Diagnosis and Treatment

Journal Article Foot and Ankle Orthopaedics · January 1, 2018 Osteochondral lesions of the talus (OLTs) are a difficult pathologic entity to treat. They require a strong plan. Lesion size, location, chronicity, and characteristics such as displacement and the presence of subchondral cysts help dictate the appropriate ... 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

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

Operative Techniques: Foot and Ankle Surgery

Book · October 9, 2017 Part of the practical, highly illustrated Operative Techniques series, this fully revised title by Drs. Glenn B. Pfeffer, Mark Easley, Beat Hintermann, Andrew Sands, and Alastair Younger brings you up to speed with must-know surgical techniques in today's ... Cite

Webinar: Effective Treatments for Ankle Sprains and Instability

Journal Article Journal of Orthopaedic and Sports Physical Therapy · September 1, 2017 Ankle sprain is a common musculoskeletal injury throughout the world, affecting tens of thousands of patients daily. What treatments for lateral inversion ankle injury are most effective? When is a wait- and-see approach more beneficial than a training pro ... Full text Cite

Torsional stiffness after subtalar arthrodesis using second generation headless compression screws: Biomechanical comparison of 2-screw and 3-screw fixation.

Journal Article Clin Biomech (Bristol) · June 2017 BACKGROUND: Subtalar joint arthrodesis is a common operative treatment for symptomatic subtalar arthrosis. Because excessive relative motion between the talus and calcaneus can delay or prohibit fusion, fixation should be optimized, particularly in patient ... Full text Link to item Cite

Inflammatory Microenvironment Persists After Bone Healing in Intra-articular Ankle Fractures.

Journal Article Foot Ankle Int · May 2017 BACKGROUND: Post-traumatic osteoarthritis (PTOA) is responsible for the majority of cases of ankle arthritis. While acute and end-stage intra-articular inflammation has previously been described, the state of the joint between fracture healing and end-stag ... 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

Lipid profile of human synovial fluid following intra-articular ankle fracture.

Journal Article J Orthop Res · March 2017 This study characterizes the metabolic profile of synovial fluid after intra-articular ankle fracture with an emphasis on changes in the lipid profile. Bilateral ankle synovial fluid from 19 patients with unilateral intra-articular ankle fracture was submi ... Full text Link to item Cite

Clinical examination

Chapter · February 8, 2017 The foot and ankle is comprised of an array of joints, ligaments and tendons that act to propel the body forward during ambulation while providing a stable weight bearing surface. While the complex relationship between these bones and soft tissue structure ... Full text Cite

Overview and epidemiology of foot and ankle problems in sports

Chapter · February 8, 2017 Injuries of the foot and ankle are common among recreational and competitive athletes. Like most sports-related injuries, management typically entails a period of rest, aggressive rehabilitation and return to early competitive activity without compromising ... Full text Cite

Acute ankle instability/ankle sprains in athletes

Chapter · February 8, 2017 Ankle ligament injuries are common amongst athletes. Low ankle sprains typically involve the anterior talofibular ligament and the calcaneofibular ligament while high ankle sprains involve the syndesmosis. These injuries present with focal tenderness, swel ... Full text Cite

Foot and Ankle Sports Orthopaedics

Book · February 8, 2017 This book provides a comprehensive review of the diagnosis, management and treatment of sports injuries to the foot and ankle. The editors have assembled a list of contributors at the top of their field to define the medical management, treatment and surge ... 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

Compressive Force With 2-Screw and 3-Screw Subtalar Joint Arthrodesis With Headless Compression Screws.

Journal Article Foot Ankle Int · December 2016 BACKGROUND: Joint compression is an essential element of successful arthrodesis. Although subtalar joint compression generated by conventional screws has been quantified in the laboratory, compression obtainable with headless screws that rely on variable t ... 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

Alternative method to remove polyethylene liner from inbone total ankle arthroplasty: Operative technique

Journal Article Techniques in Foot and Ankle Surgery · August 23, 2016 Total ankle arthroplasty (TAA) is an evolving treatment indicated in end-stage idiopathic, posttraumatic, or inflammatory ankle arthrosis. Currently, there are 4 Food and Drug Administration approved TAAs systems available in the United States, one of whic ... Full text Cite

Effectiveness of Allograft Reconstruction vs Tenodesis for Irreparable Peroneus Brevis Tears: A Cadaveric Model.

Journal Article Foot Ankle Int · August 2016 BACKGROUND: Irreparable peroneus brevis tendon tears are uncommon, and there is scant evidence on which to base operative treatment. Options include tendon transfer, segmental resection with tenodesis to the peroneus longus tendon, and allograft reconstruc ... Full text Link to item Cite

Treatment of Osteonecrosis of the Talus.

Journal Article JBJS Rev · July 12, 2016 More than 60% of the talar surface area consists of articular cartilage, thereby limiting the possible locations for vascular infiltration and leaving the talus vulnerable to osteonecrosis. Treatment strategies for talar osteonecrosis can be grouped into f ... 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

Characterization and Surgical Management of Achilles Tendon Sleeve Avulsions.

Journal Article Foot Ankle Int · June 2016 BACKGROUND: An Achilles sleeve avulsion occurs when the tendon ruptures distally from its calcaneal insertion as a continuous "sleeve." This relatively rare injury pattern may not be appreciated until the time of surgery and can be challenging to treat bec ... Full text Link to item Cite

Systematic Quantification of Stabilizing Effects of Subtalar Joint Soft-Tissue Constraints in a Novel Cadaveric Model.

Journal Article J Bone Joint Surg Am · May 18, 2016 BACKGROUND: Distinguishing between ankle instability and subtalar joint instability is challenging because the contributions of the subtalar joint's soft-tissue constraints are poorly understood. This study quantified the effects on joint stability of syst ... 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

Biomechanical Comparison of Intramedullary Screw Versus Low-Profile Plate Fixation of a Jones Fracture.

Journal Article Foot Ankle Int · April 2016 BACKGROUND: Intramedullary screw fixation of fifth metatarsal Jones fractures often produces satisfactory results, however, nonunion and refracture rates are not negligible. The low-profile "hook" plate is an alternative fixation method that has been promo ... 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

The influence of patient age and bone mineral density on osteotomy fixation stability after hallux valgus surgery: A biomechanical study.

Journal Article Clin Biomech (Bristol) · February 2016 BACKGROUND: Oblique osteotomies of the first metatarsal are common surgical treatments for moderate to severe hallux valgus deformity. Osteotomy fixation integrity is important to minimize interfragment motion and maintain correction during healing, and ou ... Full text Link to item Cite

Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions.

Journal Article J Am Acad Orthop Surg · January 2016 Osteochondral lesions of the talus, large or small, present a challenge to the treating orthopaedic surgeon. These cartilage and bony defects can cause substantial pain and functional disability. Surgical treatment of small lesions of the talus has been th ... Full text Link to item Cite

Role of Fresh Osteochondral Allografts for Large Talar Osteochondral Lesions.

Journal Article Instr Course Lect · 2016 Osteochondral lesions of the talus, large or small, are challenging for the treating orthopaedic surgeon. These cartilage and bony defects can cause substantial pain and functional disability. Surgical treatment of small osteochondral lesions of the talus ... 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

Inflammatory Cytokines and Matrix Metalloproteinases in the Synovial Fluid After Intra-articular Ankle Fracture.

Journal Article Foot Ankle Int · November 2015 BACKGROUND: Posttraumatic osteoarthritis (PTOA) can occur after intra-articular fracture despite anatomic fracture reduction. It has been hypothesized that an early inflammatory response after intra-articular injury could lead to irreversible cartilage dam ... 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

Biomechanical Comparison of External Fixation and Compression Screws for Transverse Tarsal Joint Arthrodesis.

Journal Article Foot Ankle Int · October 2015 BACKGROUND: Transverse tarsal joint arthrodesis is commonly performed in the operative treatment of hindfoot arthritis and acquired flatfoot deformity. While fixation is typically achieved using screws, failure to obtain and maintain joint compression some ... Full text Link to item Cite

Radiographic Outcomes of a Mobile-Bearing Total Ankle Replacement.

Journal Article Foot Ankle Int · September 2015 BACKGROUND: Contemporary total ankle prostheses embody design changes intended to address weaknesses in first-generation implants. Due to these changes, outcomes of the newer designs are of particular interest. We have previously published self-reported pa ... Full text Link to item Cite

Subtalar Fusion Rate in Patients With Previous Ipsilateral Ankle Arthrodesis.

Journal Article Foot Ankle Int · September 2015 BACKGROUND: Isolated subtalar arthrodesis is generally successful, with reported fusion rates of 84% to 100%. However, alteration of subtalar joint mechanics and talar body vasculature after ankle fusion may negatively influence subsequent ipsilateral subt ... 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

Osteochondral autologous transfer and bulk allograft for biological resurfacing of large osteochondral lesions of the talus

Journal Article Techniques in Foot and Ankle Surgery · March 6, 2015 Osteochondral lesions of the talus that have previously undergone surgical management or involve the shoulder region of the talus require methods other than microfracture for treatment. For those lesions that have failed microfracture and do not involve th ... Full text Cite

Bone marrow stimulation and biological adjuncts for treatment of osteochondral lesions of the talus

Journal Article Techniques in Foot and Ankle Surgery · March 6, 2015 Osteochondral lesions of the talus (OLT) frequently occur after ankle sprain or fracture. Although there has been a growing interest in OLT treatment recently, the pathology has been recognized for hundreds of years. Yet there is a lack of consensus as to ... Full text 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

Particulated juvenile cartilage allograft for treatment of osteochondral lesions of the talus (OCLT). A case report

Journal Article Fuss und Sprunggelenk · December 1, 2014 In the current literature, different surgical techniques have been described for the treatment of the talar osteochondral lesions. In the present case report, we describe a novel surgical technique using juvenile cartilage allograft. ... Full text 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

Case series of first metatarsophalangeal joint injuries in division 1 college athletes.

Journal Article Sports Health · November 2014 CONTEXT: Injuries of the first metatarsophalangeal (hallux MP) joint can be debilitating in the athletic population. Turf toe and plantar plate injuries are typically diagnosed similarly. However, variance in injury mechanism as well as compromised integri ... 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

Particulated juvenile cartilage allograft transplantation for the treatment of osteochondral lesions of the talus

Journal Article Operative Techniques in Orthopaedics · September 1, 2014 Osteochondral lesions of the talus present a formidable treatment challenge to the orthopaedic surgeon. Although debridement with either microfracture, drilling, or curettage is often successful in relieving pain and growing fibrocartilage within a standar ... Full text Cite

Autologous osteochondral transplantation for osteochondral lesions of the talus

Journal Article Operative Techniques in Orthopaedics · September 1, 2014 Autologous osteochondral transplantation is used in the management of osteochondral lesions of the talus that are not responsive or amenable to arthroscopic debridement or bone marrow stimulation. Therefore, the technique is indicated for large (>100-150mm ... Full text 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

Arthroscopic Particulated Juvenile Cartilage Allograft Transplantation for the Treatment of Osteochondral Lesions of the Talus.

Journal Article Arthrosc Tech · August 2014 Several options exist for the treatment of osteochondral lesions of the talus. Particulated juvenile cartilage allograft transplantation (PJCAT) has become a viable treatment modality for osteochondral lesions of the talus that are not amenable to microfra ... 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

Cartilage repair, replacement, and regenerative strategies for osteochondral lesions of the talus

Chapter · June 1, 2014 Osteochondral lesions of the talus present a formidable treatment challenge to the orthopaedic surgeon. Historical cartilage repair strategies often result in the formation of fibrocartilage leading to suboptimal clinical results. With advances in regenera ... Full text 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) · 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 assessment of flexible flatfoot correction: comparison of techniques in a cadaver model.

Journal Article J Bone Joint Surg Am · March 19, 2014 BACKGROUND: Options for surgical correction of acquired flexible flatfoot deformity involve bone and soft-tissue reconstruction. We used an advanced cadaver model to evaluate the ability of key surgical procedures to correct the deformity and to resist sub ... Full text 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

Heterotopic ossification following total ankle replacement: clinical significance and factors affecting its formation.

Journal Article J Surg Orthop Adv · 2014 Little is known about the clinical significance of heterotopic ossification after total ankle replacement and the factors contributing to its occurrence. This study documented the incidence of heterotopic ossification in a large ankle arthroplasty series; ... Link to item Cite

Biomechanical comparison of prophylactic medial malleolar fixation in total ankle arthroplasty.

Journal Article J Surg Orthop Adv · 2014 The purpose of this study was to compare the biomechanical properties of two common forms of prophylactic fixation of the medial malleolus during total ankle arthroplasty (TAA). Ten matched pairs of cadaveric lower extremities were fixed with a single cann ... Link to item Cite

Surgical approach to lateral OLT

Chapter · January 1, 2014 Posterolateral osteochondral lesions of the talus (OLTs) represent approximately 5 % of all OLTs. With current arthroscopic techniques, most posterolateral OLTs may be readily managed arthroscopically. Should the posterolateral OLT fail to respond to or no ... Full text Cite

Rehabilitation after replacement procedures (i.e., OATS, allograft)

Chapter · January 1, 2014 Autologous osteochondral transplantation techniques, such as osteochondral autologous transfer system (OATS) and mosaicplasty, and osteochondral allograft transplantation aim to repair osteochondral lesions of the talus by providing a hyaline or a hyaline- ... Full text 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

Minimally invasive forefoot surgery in clinical practice

Journal Article Minimally Invasive Forefoot Surgery in Clinical Practice · October 1, 2013 With this proliferation of arthroscopy and other minimally invasive approaches due to the greater demands for day case surgery, there is much interest among orthopedic surgeons for quick reference guides to assist with minimally invasive techniques.? Descr ... Full text Cite

Applications of the medial femoral condyle free flap for foot and ankle reconstruction.

Journal Article Foot Ankle Int · October 2013 BACKGROUND: Avascular necrosis (AVN) or persistent nonunion occurs in situations of poor vascular supply. Some specific situations that plague the foot and ankle surgeon are talus nonunion, talus AVN, navicular AVN, and failed ankle arthrodesis with bone l ... Full text Link to item Cite

Recombinant human platelet-derived growth factor-BB and beta-tricalcium phosphate (rhPDGF-BB/β-TCP): an alternative to autogenous bone graft.

Journal Article J Bone Joint Surg Am · July 3, 2013 BACKGROUND: Joint arthrodesis employing autogenous bone graft (autograft) remains a mainstay in the treatment of many foot and ankle problems. However, graft harvest can lead to perioperative morbidity and increased cost. We tested the hypothesis that puri ... Full text Link to item Cite

Minimally invasive surgery for achilles tendon disorders in clinical practice

Journal Article Minimally Invasive Surgery for Achilles Tendon Disorders in Clinical Practice · July 1, 2013 Minimally Invasive Surgery for the achilles tendon represents a novel approach to treatment of orthopedic problems in the Achilles tendon. The gradual change of philosophy in the management of ankle surgery means that patients require a less invasive appro ... Full text 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

Surgical treatment of the arthritic varus ankle.

Journal Article Foot Ankle Clin · December 2012 Within the past several years, the arthritic varus ankle has been addressed extensively in Foot and Ankle Clinics, with numerous excellent reviews by particularly knowledgeable authors. To support these outstanding contributions, this article provides a pr ... Full text Link to item Cite

Lesser toe deformities and bunionettes

Chapter · October 16, 2012 Cite

Vascularized pedicle bone grafting for nonunions of the tarsal navicular.

Journal Article Foot Ankle Int · September 2012 BACKGROUND: Osteonecrosis and nonunions of the tarsal navicular remain a challenging clinical problem. This article presents a series of patients treated with local vascularized pedicle bone grafting to the navicular. The purpose of this study was to deter ... 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

Magnetic resonance imaging features of osteochondral lesions of the talus.

Journal Article Foot Ankle Int · July 2012 BACKGROUND: Osteochondral lesions of the talus (OLT) traditionally have been thought to occur anterolaterally or posteromedially. Recent studies utilizing magnetic resonance imaging (MRI) have questioned this teaching. The purpose of this study was to use ... Full text Link to item Cite

Wound healing agents.

Journal Article Crit Care Nurs Clin North Am · June 2012 Full text Link to item Cite

Wound Healing Agents

Journal Article CRITICAL CARE NURSING CLINICS OF NORTH AMERICA · June 1, 2012 Full text Link to item Cite

Preface

Chapter · March 28, 2012 Cite

INBONE total ankle arthroplasty

Chapter · March 28, 2012 Cite

Traditional triple arthrodesis

Chapter · March 28, 2012 Cite

Insertional achilles tendinopathy

Chapter · March 28, 2012 Cite

Midfoot arthrodesis

Chapter · March 28, 2012 Cite

Operative techniques in foot and ankle surgery

Book · March 28, 2012 Operative Techniques in Foot and Ankle Surgery provides full-color, step-by-step explanations of all operative procedures in podiatry. It contains the chapters on the foot and ankle from Sam W. Wiesel's Operative Techniques in Orthopaedic Surgery. Written ... Cite

Revision hallux valgus correction

Chapter · March 28, 2012 Cite

Tendon transfer for foot drop

Chapter · March 28, 2012 Cite

Ankle arthrodesis

Chapter · March 28, 2012 Cite

Mobility total ankle arthroplasty

Chapter · March 28, 2012 Cite

Tarsometatarsal arthrodesis

Chapter · March 28, 2012 Cite

Varus ankle and osteochondral lesions of the talus.

Journal Article Foot Ankle Clin · March 2012 Considerable recent orthopedic literature is dedicated to either the surgical management of OLTs and correction of varus ankle alignment, but little is published on the combination of these 2 problems. We anticipate that future clinical and biomechanical r ... Full text Link to item Cite

Structural Allograft Transplantation for Osteochondral Lesions of the Talus.

Journal Article JBJS Essent Surg Tech · February 2012 INTRODUCTION: We describe the technique for structural allograft transplantation to treat large talar shoulder lesions. STEP 1 PATIENT SELECTION AND EDUCATION: The patient and surgeon must be prepared for a waiting time of unknown length and have a flexibl ... Full text Link to item Cite

Intermediate to long-term outcomes of the STAR Total Ankle Replacement: the patient perspective.

Journal Article J Bone Joint Surg Am · January 4, 2012 BACKGROUND: The purpose of the present study was to document the patient self-reported improvements in quality of life, function, and overall impairment scores, as well as the improvement in the clinically derived outcome scores, following a Scandinavian T ... Full text Link to item 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

Preface

Chapter · December 1, 2011 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

Effect of graft height mismatch on contact pressures with osteochondral grafting of the talus.

Journal Article Am J Sports Med · December 2011 BACKGROUND: Osteochondral allograft transplantation is technically demanding. It is not always possible to place the surface of the graft perfectly flush with the surrounding cartilage. One must often choose between placing at least some portion of the sur ... Full text Link to item 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

Midterm results of osteochondral lesions of the talar shoulder treated with fresh osteochondral allograft transplantation.

Journal Article J Bone Joint Surg Am · April 6, 2011 BACKGROUND: With osteochondral lesions of the talar shoulder, their size, the articular cartilage geometry, and the loss of the medial or lateral articular buttress often preclude treatment with traditional osteochondral autograft techniques. We hypothesiz ... 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

Minimally invasive surgery of the foot and ankle

Journal Article Minimally Invasive Surgery of the Foot and Ankle · 2011 Minimally Invasive Surgery of the Foot and Ankle is a collection of procedures presented by experts and pioneers in foot and ankle surgery who share an interest in developing less invasive methods of treating disorders of the foot and ankle. Procedures des ... Full text Cite

Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach.

Journal Article JBJS Essent Surg Tech · 2011 INTRODUCTION: Although displaced intra-articular calcaneal fractures were historically treated nonoperatively because of unreliable outcomes, they are now commonly treated with open reduction and internal fixation (ORIF). STEP 1 PREOPERATIVE PLANNING AND O ... Full text Link to item 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

Osteochondral lesions of the talus.

Journal Article J Am Acad Orthop Surg · October 2010 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

Open debridement of noninsertional achilles tendinopathy

Journal Article · December 1, 2009 Although symptomatic Achilles tendinopathy can be managed nonoperatively, histologic analysis of tissue obtained at the time of surgery demonstrates degenerative fibrous tissue, no inflammatory cells, and no healing response. Surgical management of noninse ... Full text Cite

Noninsertional achilles tendinopathy: An overview

Journal Article · December 1, 2009 As our society becomes increasingly more health conscious, participation in both competitive and recreational sports activities continues to see unprecedented growth. Consequently, there is a continued rise in the prevalence of sports overuse injuries. Ten ... Full text 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

SPECT-CT compared with conventional imaging modalities for the assessment of the varus and valgus malaligned hindfoot.

Journal Article J Orthop Res · November 2009 The combined single-photon emission computed tomography and conventional computed tomography (SPECT/CT) technique has increased the sensitivity and specificity of bone scans. We examined the value of using SPECT/CT for the assessment of coronal plane hindf ... Full text Link to item Cite

Lisfranc injuries in sport.

Journal Article Foot Ankle Clin · June 2009 Injuries to the Lisfranc ligament complex have traditionally been associated with high energy trauma such as motor vehicle collisions and industrial accidents. Recently, there has been a greater appreciation of mid-foot sprains that represent a spectrum of ... Full text Link to item Cite

External ring fixation versus screw fixation for ankle arthrodesis: a biomechanical comparison.

Journal Article Foot Ankle Int · April 2009 BACKGROUND: The use of external ring fixation for ankle arthrodesis offers an alternative to internal screw fixation when bone quality is suboptimal, when complex ankle pathology is present, and as a salvage procedure for complicated cases. Additionally, i ... Full text Link to item Cite

Intermediate-term results of the Ludloff osteotomy in one hundred and eleven feet. Surgical technique.

Journal Article J Bone Joint Surg Am · March 1, 2009 BACKGROUND: The modified Ludloff proximal first metatarsal osteotomy is indicated for the surgical correction of moderate-to-severe hallux valgus deformity associated with metatarsus primus varus. We report the intermediate-term results of this procedure. ... Full text Link to item Cite

Accuracy of ultrasound guided injections in the foot and ankle.

Journal Article Foot Ankle Int · March 2009 BACKGROUND: Ultrasonography is an emerging imaging modality which affords dynamic, real-time, cost-effective and surgeon controlled visualization of the foot and ankle. The purpose of this study was to evaluate the accuracy of ultrasound guided injections ... Full text Link to item Cite

Screw placement in subtalar arthrodesis: a biomechanical study.

Journal Article Foot Ankle Int · February 2009 BACKGROUND: Clinical outcomes of subtalar arthrodesis using screw fixation have been reported but biomechanical support for selection of screw trajectories and patterns has been lacking. This investigation was designed to assess the compressive and stabili ... Full text Link to item Cite

Metatarsal Lengthening

Chapter · January 1, 2009 Full text Cite

Operative Techniques: Foot and Ankle Surgery

Book · January 1, 2009 This multimedia resource offers you all the how-to step-by-step guidance you need to perform all of the latest and best techniques in foot and ankle surgery. The complete, lavishly illustrated volume is made even better with a state-of-the-art companion we ... Cite

Fusion versus excision of the symptomatic Type II accessory navicular: a prospective study.

Journal Article Foot Ankle Int · January 2009 BACKGROUND: Patients with symptomatic Type II accessory naviculars that fail nonoperative measures may be treated with excision, percutaneous drilling, a modified Kidner procedure, or a fourth option, arthrodesis of the accessory ossicle to the navicular b ... Full text Link to item Cite

Tibiotalocalcaneal arthrodesis: a biomechanical comparision of multiplanar external fixation with intramedullary fixation.

Journal Article Foot Ankle Int · September 2008 BACKGROUND: Methods of achieving tibiotalocalcaneal arthrodesis include intramedullary nailing, crossed lag screws, blade plates, and external fixation. While reports in the orthopaedic literature have compared the biomechanical properties of some of these ... Full text 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

Computer-assisted surgery for subtalar arthrodesis. A study in cadavers.

Journal Article J Bone Joint Surg Am · August 2008 BACKGROUND: Despite considerable recent interest in computer navigation for orthopaedic surgery, few investigations of computer-assisted surgery for foot and ankle operations have been reported. The purpose of the present study was to compare subtalar arth ... Full text Link to item Cite

Revision tibiotalar arthrodesis.

Journal Article J Bone Joint Surg Am · June 2008 BACKGROUND: Contemporary recommendations for primary and revision ankle arthrodesis favor internal compression techniques involving the use of screw and/or plate fixation. While tibiotalocalcaneal arthrodesis with internal fixation may be a suitable method ... Full text Link to item Cite

Subtalar distraction arthrodesis using interpositional frozen structural allograft.

Journal Article Foot Ankle Int · June 2008 BACKGROUND: Subtalar bone-block distraction arthrodesis using structural autograft carries the risk of donor site morbidity. Recent reports suggest that structural allograft may be an attractive alternative to structural autograft in subtalar arthrodesis. ... Full text Link to item Cite

A quantitative comparison of surgical approaches for posterolateral osteochondral lesions of the talus.

Journal Article Foot Ankle Int · April 2008 BACKGROUND: Exposure of the posterolateral talar dome for osteochondral autograft transfer can be challenging. The purpose of this study is to compare surgical exposures for perpendicular access to the posterolateral talar dome using osteochondral transfer ... Full text Link to item Cite

Letters to the editor [2]

Journal Article Foot and Ankle International · April 1, 2008 Full text Cite

Untitled - Reply

Journal Article FOOT & ANKLE INTERNATIONAL · April 1, 2008 Link to item Cite

Intermediate-term results of the Ludloff osteotomy in one hundred and eleven feet.

Journal Article J Bone Joint Surg Am · March 2008 BACKGROUND: The modified Ludloff proximal first metatarsal osteotomy is indicated for the surgical correction of moderate-to-severe hallux valgus deformity associated with metatarsus primus varus. We report the intermediate-term results of this procedure. ... Full text Link to item Cite

First metatarsal lengthening

Journal Article Techniques in Foot and Ankle Surgery · March 1, 2008 Shortening of the first metatarsal is known to occur during hallux valgus surgeries. If the shortened first ray disrupts the normal weight transfer, then transfer metatarsalgia may result. After failed conservative treatment, a common operative option is o ... Full text Cite

[Diagnosis and treatment of osteochondral lesions of the talus].

Journal Article Orthopade · March 2008 Delayed diagnosis of osteochondral lesions of the talus is common; acute osteochondral injuries to the talar dome frequently go unrecognized. While acute lesions may be repaired, typically the focus of operative treatment for osteochondral lesions is on: ( ... 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

Biomechanical comparison of screws and plates for hallux valgus opening-wedge and Ludloff osteotomies.

Journal Article Clin Biomech (Bristol) · January 2008 BACKGROUND: The optimal osteotomy type and fixation method for hallux valgus correction have not been defined. This study examined the mechanical properties of corrective opening-wedge and Ludloff oblique osteotomies under conditions approximating postoper ... Full text Link to item Cite

Computer-assisted tibia preparation for total ankle arthroplasty: a cadaveric study.

Journal Article Int J Med Robot · December 2007 BACKGROUND: Most surgeons performing total ankle arthroplasty (TAA) suggest that accurate tibial preparation perpendicular to the tibial shaft axis improves outcomes. Recent studies demonstrate that computerized surgical navigation significantly improves t ... Full text Link to item Cite

Cryotherapy temperature differences after total knee arthroplasty: a prospective randomized trial.

Journal Article J Surg Orthop Adv · 2007 In spite of its widespread use after orthopaedic procedures, the literature evaluating the clinical efficacy of cryotherapy is controversial. The purpose of this prospective randomized trial was to compare two different temperatures for administering cryot ... Link to item Cite

Wound healing agents.

Journal Article Foot Ankle Clin · December 2006 This report presented a review of the process of wound healing as well as influencing factors in the process such as wound healing agents. A greater understanding of the alterations in diabetes mellitus allows selection of the optimal wound healing agents ... Full text Link to item Cite

Ankle arthrodesis using ring external fixation

Journal Article Techniques in Foot and Ankle Surgery · September 1, 2006 Contemporary recommendations for primary and revision ankle arthrodesis favor internal compression techniques using screw and/or plate fixation, with satisfactory outcomes being reported for most patients. Recently, comparable union rates and results of pr ... Full text Cite

The Weil osteotomy for subluxated or dislocated metatarsophalangeal joint

Journal Article Techniques in Foot and Ankle Surgery · June 1, 2006 For metatarsalgia caused by a sublaxated/dislocated lesser metatarsophalangeal joint (MTP joint) surgical treatment options without sacrificing the joint are limited. The Weil osteotomy is an oblique osteotomy of the metatarsal neck and shaft, which provid ... Full text Cite

"Mini-open" repair for acute achilles tendon ruptures

Journal Article Techniques in Foot and Ankle Surgery · March 1, 2006 The conventional exposure for surgical repair of acute Achilles tendon ruptures affords ample visualization to ensure anatomic apposition of the disrupted tendon fibers. Reported outcomes of this standard approach to Achilles tendon repair are generally fa ... Full text Cite

Techniques in Foot and Ankle Surgery: Editorial

Journal Article Techniques in Foot and Ankle Surgery · March 1, 2006 Full text Cite

MRI of spring ligament tears.

Journal Article AJR Am J Roentgenol · May 2005 OBJECTIVE: Surgical repair of the spring ligament is becoming recognized as an important management component of adult-acquired flatfoot, yet little literature exists on the MRI appearance of spring ligament abnormalities. In this article, we describe the ... Full text Link to item Cite

Medicolegal aspects of foot and ankle surgery.

Journal Article Clin Orthop Relat Res · April 2005 Medicolegal aspects of orthopaedic foot and ankle surgery, including issues of standard of care, complications, and discrepancies between patient and physician expectations, generally are similar to those encountered in other orthopaedic subspecialties. Ho ... Full text Link to item Cite

Salvage of the failed Keller resection arthroplasty. Surgical technique.

Journal Article The Journal of bone and joint surgery. American volume · March 2005 BACKGROUND: A number of typical complications have been associated with Keller resection arthroplasty. Recurrent valgus deformity, cock-up deformity, and a flail toe may be difficult problems for the treating surgeon because options for salvage are limited ... Cite

Salvage of the failed Keller resection arthroplasty. Surgical technique.

Journal Article J Bone Joint Surg Am · March 2005 BACKGROUND: A number of typical complications have been associated with Keller resection arthroplasty. Recurrent valgus deformity, cock-up deformity, and a flail toe may be difficult problems for the treating surgeon because options for salvage are limited ... Full text Link to item Cite

Salvage of a failed Keller resection arthroplasty.

Journal Article J Bone Joint Surg Am · June 2004 BACKGROUND: A number of typical complications have been associated with Keller resection arthroplasty. Recurrent valgus deformity, cock-up deformity, and a flail toe may be difficult problems for the treating surgeon because options for salvage are limited ... Full text Link to item Cite

An augmented fixation method for distal fibular fractures in elderly patients: a biomechanical evaluation.

Journal Article Foot Ankle Int · March 2004 This biomechanical investigation compared two fixation techniques for distal fibular fractures. Elderly cadaver lower extremities with simulated fibula fractures underwent fixation either with a plate and intramedullary Kirschner wires (K-wires) with or wi ... Full text Link to item Cite

Open calcaneal fractures: results of operative treatment.

Journal Article J Orthop Trauma · January 2004 OBJECTIVE: To review our series of open calcaneal fractures compared with other series. DESIGN: Retrospective review. SETTING: All patients were treated at a single Level 1 trauma center. PATIENTS/PARTICIPANTS: We reviewed 19 consecutive patients, each wit ... Full text Link to item Cite

MR appearance of spring ligament tears

Conference AMERICAN JOURNAL OF ROENTGENOLOGY · January 1, 2004 Link to item Cite

Topography of the distal tibial nerve and its branches.

Journal Article Foot Ankle Int · September 2003 The tibial nerve trunk and its branches were dissected in 20 embalmed cadaver legs and the relative topographic anatomy was defined at 3-cm intervals up to 15 cm proximal to the medial malleolar-calcaneal (MMC) axis. Each nerve branch was found in various ... Full text Link to item Cite

Osteochondral autologous transfer system.

Journal Article Foot Ankle Clin · June 2003 The OATS technique is one of several cartilage repair procedures that exhibits promising short- to intermediate-term results in the surgical management of OLTs. Although the OATS procedure is generally reserved for salvage of failed debridement and drillin ... Full text Link to item Cite

Current concepts in arthritis

Journal Article Foot and Ankle Clinics · June 1, 2003 Full text Cite

Osteochondral lesions of the talus: Diagnosis and treatment

Journal Article Current Opinion in Orthopaedics · April 1, 2003 Treatment of symptomatic focal talar osteochondral defects has undergone a dramatic evolution over the past decade. Although the standard of operative care remains debridement and drilling of talar dome lesions, the concern remains that replacing larger de ... Full text Cite

The transverse dorsal approach to the Lisfranc joint.

Journal Article Foot Ankle Int · May 2002 Featured Publication While multiple longitudinal skin incisions can be utilized to visualize the joints of the midfoot, we feel that exposure can be difficult. Dorsal transverse and T incisions were undertaken to expose the tarsometatarsal joints (TMTJs) in 12 patients. Five o ... Full text Link to item Cite

The acquired midtarsus deformity classification system--interobserver reliability and intraobserver reproducibility.

Journal Article Foot Ankle Int · January 2002 Featured Publication A radiographic classification (Schon's) divides Charcot midtarsus deformities into four types identified by Roman numerals (I to IV), according to the anatomical location of the pathological process,11 and an objective method of severity staging using radi ... Full text Link to item Cite

Total ankle arthroplasty.

Journal Article J Am Acad Orthop Surg · 2002 Featured Publication First-generation total ankle arthroplaty designs had unacceptably high complication and failure rates compared with ankle arthrodesis. More recent prostheses have had encouraging intermediate results because of refined surgical techniques and improved desi ... Full text Link to item Cite

Complex salvage procedures for severe lower extremity nerve pain.

Journal Article Clin Orthop Relat Res · October 2001 Featured Publication From 1995 to 1999, the senior author did revision nerve release and vein wrapping (58 limbs in 58 patients) or peripheral nerve stimulation (62 limbs in 62 patients) to relieve intractable lower extremity nerve pain. Vein wrapping was done if the patient h ... Full text Link to item Cite

Subtalar distraction bone block arthrodesis.

Journal Article J Bone Joint Surg Br · August 2001 Featured Publication This retrospective study analyses the results of subtalar bone block distraction arthrodesis used in the treatment of late complications of calcaneal fractures, acute severely comminuted fractures, nonunion (and malunion) of attempted subtalar arthrodeses, ... Full text Link to item Cite

Surgical treatment of chronic lower extremity neuropathic pain.

Journal Article Clin Orthop Relat Res · August 2001 Featured Publication The current authors retrospectively reviewed 147 lower extremity peripheral nerve procedures in 114 patients (average age, 42 years) with chronic lower extremity neuropathic pain to determine whether surgical treatment based on an empirically derived algor ... Full text Link to item Cite

Intramedullary screw fixation of Jones fractures.

Journal Article Foot Ankle Int · July 2001 Featured Publication BACKGROUND: Jones fractures of the fifth metatarsal can be stabilized using intramedullary screw fixation techniques. A range of screw diameters from 4.5 mm to 6.5 mm can be used, but the optimal screw for this procedure has yet to be defined. In clinical ... Full text Link to item Cite

Transtibial amputation. Prosthetic use and functional outcome.

Journal Article Foot Ankle Clin · June 2001 Annually, roughly 80,000 to 100,000 amputations are performed with a total cost of greater than $50,000 per patient. Amputations in general and TTAs in particular are worthy of investigation to provide a cost-effective functional outcome that provides high ... Full text Link to item Cite

Treatment of stage 3 adult acquired flatfoot.

Journal Article Foot Ankle Clin · March 2001 Featured Publication Stage 3 adult acquired flatfoot occurs when chronic posterior tibial tendon insufficiency results in fixed hindfoot valgus or fixed forefoot abduction and supination. Nonoperative management results in limited success. Corrective fusion is the treatment of ... Full text Link to item Cite

Mobile bearings in primary knee arthroplasty.

Journal Article J Am Acad Orthop Surg · 2001 Featured Publication Mobile-bearing knee arthroplasty (MBKA) has potential advantages compared with conventional fixed-bearing total knee arthroplasty (TKA). By allowing unconstrained axial rotation, MBKA can offer greater articular conformity without an increased probability ... Full text Link to item Cite

Six first metatarsal shaft osteotomies: mechanical and immobilization comparisons.

Journal Article Clin Orthop Relat Res · December 2000 Because malunion (usually with dorsal elevation of the first metatarsal) has been reported after the treatment of severe hallux valgus deformities by proximal osteotomies, the current study was designed to compare the sagittal stability of six different me ... Full text Link to item Cite

Ankle chondral injuries and repair.

Journal Article Foot Ankle Clin · December 2000 The success of cartilage repair in the ankle and other joints rests on multiple factors. Because native cartilage healing fails to produce hyaline, organized cartilage, the challenge lies in activating an appropriate healing response. The combination of an ... Link to item Cite

Primary constrained condylar knee arthroplasty for the arthritic valgus knee.

Journal Article Clin Orthop Relat Res · November 2000 The purpose of the current study was to review results of primary constrained condylar knee arthroplasty in elderly patients with genu valgum deformity. The hypotheses were: (1) constraint has no adverse effects in elderly patients; (2) treating deformity ... Full text Link to item Cite

The chevron osteotomy for correction of hallux valgus. Comparison of findings after two and five years of follow-up.

Journal Article J Bone Joint Surg Am · October 2000 BACKGROUND: The chevron osteotomy, an accepted method for the correction of mild and moderate hallux valgus, is generally advocated for patients younger than the age of fifty years. The purposes of this prospective study were to compare the short-term (two ... Link to item Cite

Avascular necrosis of the hallux metatarsal head.

Journal Article Foot Ankle Clin · September 2000 Avascular necrosis of the first metatarsal head is rare. Although idiopathic cases have been reported, AVN of the first metatarsal head is usually iatrogenic following surgical correction of hallux valgus using a distal metatarsal osteotomy with or without ... Link to item Cite

Effect of interposed periosteum in an animal physeal fracture model.

Journal Article Clin Orthop Relat Res · July 2000 To study the effect of interposed periosteum on physeal fracture healing, 52 skeletally immature female Harlan Sprague-Dawley rats, 4 to 5 weeks of age, were randomized to one of three cohort groups. All animals underwent surgical dissection of the left pr ... Full text Link to item Cite

Peripheral nerve vein wrapping for intractable lower extremity pain.

Journal Article Foot Ankle Int · June 2000 HYPOTHESIS/PURPOSE: The purpose of this study was to determine the effectiveness of lower extremity peripheral nerve vein wrapping procedures in the management of patients with intractable lower extremity pain. The hypothesis was that nerve insulation thro ... Full text Link to item Cite

Isolated subtalar arthrodesis.

Journal Article J Bone Joint Surg Am · May 2000 BACKGROUND: The purposes of this retrospective study were to review the results of isolated subtalar arthrodesis in adults and to identify factors influencing the union rate. The hypotheses were that (1) the overall outcome is acceptable but is not as favo ... Full text Link to item Cite

Moderate to severe hallux valgus deformity: correction with proximal crescentic osteotomy and distal soft-tissue release.

Journal Article Arch Orthop Trauma Surg · 2000 Between 1991 and 1995, 96 patients (114 feet) were treated with a proximal crescentic metatarsal osteotomy and distal soft-tissue procedure for moderate to severe hallux valgus deformity [intermetatarsal (IM) angle > 15 degrees, or hallux valgus (HV) angle ... Full text Link to item Cite

The chevron osteotomy for correction of hallux valgus: Comparison of findings after two and five years of follow-up

Journal Article Journal of Bone and Joint Surgery · January 1, 2000 Background: The chevron osteotomy, an accepted method for the correction of mild and moderate hallux valgus, is generally advocated for patients younger than the age of fifty years. The purposes of this prospective study were to compare the short-term (two ... Full text Cite

The role of calcaneal osteotomies for correction of adult flatfoot.

Journal Article Clin Orthop Relat Res · August 1999 The surgical treatment of flatfoot deformity has evolved during the past three decades. Soft tissue procedures alone fail to reestablish anatomic bony alignment, and bony procedures alone fail to provide dynamic support to the arch. The goal of any procedu ... Full text Link to item Cite

Intermediate to long-term follow-up of medial-approach dorsal cheilectomy for hallux rigidus.

Journal Article Foot Ankle Int · March 1999 Dorsal cheilectomy of the hallux metatarsophalangeal (MTP) joint through a medial approach can effectively provide long-term relief of pain and improve function in symptomatic mild-to-moderate hallux rigidus, despite progression of generalized first MTP jo ... Full text Link to item Cite

Stable bony integration with and without short-term indomethacin prophylaxis. A 5-year follow-up.

Journal Article Arch Orthop Trauma Surg · 1999 We included in a prospective study of a standardized indomethacin protocol 134 consecutive patients undergoing primary cementless endoprosthetic hip replacement between January and June 1990. Periarticular heterotopic ossification (HO) was graded according ... Link to item Cite

Charcot neuroarthropathy of the foot and ankle.

Journal Article Clin Orthop Relat Res · April 1998 The goal of this study was to characterize Charcot neuroarthropathy of the foot and ankle by specific sites of involvement (ankle, hindfoot, midfoot, and forefoot), modes of presentation, methods of management, and outcome. A summary of treatment and resul ... Full text Link to item Cite

Pathologic fractures through nonossifying fibromas: is prophylactic treatment warranted?

Journal Article J Pediatr Orthop · 1997 Twenty-two patients with large nonossifying fibromas (NOFs) in weight-bearing bones were studied to evaluate risk of pathologic fracture. Previous reports suggest an absolute size threshold for NOFs beyond which there is a reasonable chance of impending fr ... Link to item Cite

Prospective, randomized comparison of proximal crescentic and proximal chevron osteotomies for correction of hallux valgus deformity.

Journal Article Foot Ankle Int · June 1996 In this study, intermetatarsal angle (IMA) correction, functional outcome, and healing time for the proximal crescentic and proximal chevron osteotomies in moderate to severe hallux valgus deformity were prospectively compared. Seventy-five patients (97 fe ... Full text Link to item Cite

Posterior tibial tendon dysfunction in rheumatoid arthritis.

Journal Article Foot Ankle Int · March 1995 Although hindfoot pathology in rheumatoid arthritis is a significant cause of disability for patients, the etiology of the planovalgus deformity is controversial. The present study surveys 99 patients with clinically proven rheumatoid arthritis for the pre ... Full text Link to item Cite

Foot and ankle problems in rheumatoid arthritis.

Journal Article Foot Ankle Int · November 1994 The purpose of this study was to examine the prevalence of foot and ankle problems in 99 patients with clinically proven rheumatoid arthritis. Patients were recruited from outpatient rheumatology clinics; no attempt was made to select patients on the basis ... Full text Link to item Cite