Journal articleHSS J · February 2026
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 ...
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Journal articleFoot Ankle Int · December 2025
BACKGROUND: Foot and ankle offset (FAO) is a semiautomatic weightbearing computed tomography (WBCT) measurement that assesses the 3-dimensional (3D) relationship between the ankle joint center and the foot tripod, offering a global view of hindfoot alignme ...
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Journal articleFoot Ankle Int · August 2025
BACKGROUND: As total ankle arthroplasty (TAA) rises in popularity nationwide, the incidence of revision TAA continues to increase. This study evaluates patient demographics, surgical techniques, complications, and implant survivorship following revision TA ...
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Journal articleJ Arthroplasty · July 2025
BACKGROUND: The purpose of this study was to evaluate Patient-Reported Outcomes Measurement Information System (PROMIS) scores, a generic patient-reported outcome measure (PROM), as a tool to compare outcomes between total knee (TKA) and total ankle arthro ...
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Journal articleFoot Ankle Spec · June 2025
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 ...
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Journal articleBone Jt Open · May 1, 2025
AIMS: This study evaluated joint-specific and generic patient-reported outcome measures (PROMs) after total hip arthroplasty (THA) and total ankle arthroplasty (TAA) in matched cohorts, while evaluating implant survivorship and 90-day hospital use. METHODS ...
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Journal articleJ Bone Joint Surg Am · April 25, 2025
BACKGROUND: For patients with rheumatoid arthritis (RA) undergoing total ankle arthroplasty (TAA), conflicting data have been reported regarding complications and patient-reported outcome (PRO) improvement when compared with patients with osteoarthritis (O ...
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Journal articleFoot Ankle Orthop · April 2025
BACKGROUND: Total ankle replacement (TAR) is an established treatment for end-stage ankle arthritis, offering pain relief and improved functionality. The Scandinavian Total Ankle Replacement (STAR) was first used in the United States in 1998 and although u ...
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Journal articleFoot Ankle Int · March 2025
BACKGROUND: Hallux valgus (HV) is a complex, multiplanar deformity. In this study, we examined the interrelationships between various components of this deformity using weightbearing computed tomography (WBCT). We hypothesized that the severity of traditio ...
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Journal articleFoot Ankle Surg · February 2025
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 ...
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Journal articleFoot Ankle Surg · February 2025
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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleAnesth 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 ...
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Journal articleJ Foot Ankle Surg · 2025
As the incidence of total ankle arthroplasty (TAA) for the management of end-stage arthritis is on the rise, identification of risk factors for periprosthetic joint infection (PJI) is essential. There has been limited research exploring the use of radiogra ...
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Journal articleFoot Ankle Orthop · January 2025
BACKGROUND: Tibiotalocalcaneal (TTC) arthrodesis is used among other methods as a salvage procedure for complex foot/ankle deformity. Fixation is usually achieved through plate/screw constructs or intramedullary (IM) nailing. Although IM nailing uses small ...
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Journal articleJ 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleDiagnostics (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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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. ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJBJS 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleOrthop 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, ...
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Journal articleFoot 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, ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleTechniques 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 ...
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Journal articleJ 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 ...
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Journal articleFoot Ankle Surg · December 2019
BACKGROUND: Clinical assessment of hindfoot alignment (HA) in adult acquired flatfoot deformity (AAFD) can be challenging and weightbearing (WB) cone beam CT (CBCT) may potentially better demonstrate this three-dimensional (3D) deformity. Therefore, we com ...
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Journal articleFoot 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, ...
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Journal articleSci 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleTechniques 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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) ...
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Journal articleFoot 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 ...
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Journal articleJ 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, ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJournal 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 ...
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Journal articleClin 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJBJS 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 ...
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Journal articleTechniques 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 ...
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Journal articleFoot 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 ...
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Journal articleJBJS 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleClin 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 ...
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Journal articleJ 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 ...
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Journal articleInstr 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleTechniques 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 ...
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Journal articleTechniques 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 ...
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Journal articleJ 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 ...
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Journal articleJ 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 ...
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Journal articleFuss 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. ...
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Journal articleFoot 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 ...
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Journal articleSports 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 ...
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Journal articleFoot 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 ...
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Journal articleOperative 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 ...
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Journal articleOperative 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 ...
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Journal articleJBJS 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 ...
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Journal articleArthrosc 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleClin 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 ...
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Journal articleJ 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 ...
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Journal articleJ 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 ...
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Journal articleJ 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; ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleMinimally 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleMinimally 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleAm 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJBJS 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 ...
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Journal articleJ 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 ...
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Journal articleTechniques 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 ...
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Journal articleAm 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 ...
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Journal articleOsteoarthritis 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 ...
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Journal articleJ 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleMinimally 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 ...
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Journal articleJBJS 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 ...
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Journal articlePM 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 ...
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Journal articleJ 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 ...
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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 ...
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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 ...
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Journal articleAm 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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. ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleClin 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 ...
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Journal articleJ 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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. ...
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Journal articleFoot 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 ...
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Journal articleJ 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. ...
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Journal articleTechniques 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 ...
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Journal articleOrthopade · 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: ( ...
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Journal articleInstr 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 ...
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Journal articleClin 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 ...
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Journal articleInt 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleTechniques 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 ...
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Journal articleTechniques 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 ...
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Journal articleTechniques 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 ...
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Journal articleAJR 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 ...
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Journal articleClin 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 ...
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Journal articleThe 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 ...
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Journal articleJ 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleCurrent 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleClin 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 ...
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Journal articleJ 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, ...
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Journal articleClin 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleClin 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 ...
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Journal articleFoot 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 ...
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Journal articleClin 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleClin 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 ...
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Journal articleFoot 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 ...
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Journal articleJ 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 ...
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Journal articleArch 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 ...
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Journal articleJournal 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 ...
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Journal articleClin 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 ...
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Journal articleFoot 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 ...
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Journal articleArch 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 ...
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Journal articleClin 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 ...
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Journal articleJ 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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Journal articleFoot 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 ...
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