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ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A Time of Great Change—and a Time of Great Opportunity613 Michael S. Lee, DPM, FACFAS (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 26, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
D. Scot Malay, DPM, MSCE, FACFAS Paul D. Dayton, DPM, FACFAS (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 26, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Information for SubscribersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Journal of Foot & Ankle Surgery® (ISSN 1067-2516) is published bimonthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. For Post Office use only: Volume 48, issue 6 of 6. Months of issue are January, March, May, July, September, and November. Periodicals postage paid at New York, NY and additional mailing offices. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 26, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Thanks to Peer ReviewersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Every year we like to thank all of the individuals who served as peer reviewers for the manuscripts submitted to JFAS. It takes time and energy to review a manuscript, and to make comments that our editors and authors can use to refine the papers that we ultimately publish. From October 1, 2008, to September 30, 2009, 427 peers were invited by our editors to comment on manuscripts, and 262 (61.36%) of those invited took an average of 20.62 days to critically appraise the manuscripts. Peer review is an important component of scientific publication, and we appreciate the contributions made by the individuals listed below. If...
Source: Journal of Foot and Ankle Surgery - October 26, 2009 Category: Orthopaedics Source Type: journals

Cover 1Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - October 26, 2009 Category: Orthopaedics Source Type: journals

Vessel Loop Closure Technique in Open Fractures and Other Complex Wounds in the Foot and AnkleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report, we describe the use of a vessel loop, or loops, for reapproximation of the margins of gaping wounds of the foot or ankle. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 23, 2009 Category: Orthopaedics Authors: Molly A. Schnirring-Judge, Eric C. Anderson Tags: Tips, Quips, and Pearls Source Type: journals

A Time of Great Change—and a Time of Great OpportunityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
While the nation debates the future of our health care system, many of us in the medical profession are wondering—will we get it right this time? Do we have the national resolve to make the tough choices required for true health care reform? (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 23, 2009 Category: Orthopaedics Authors: Michael S. Lee Tags: Editorial Source Type: journals

Bizarre Parosteal Osteochondromatous Proliferation of the Metatarsal: A Pediatric Case Report and Archival ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of BPOP showing atypical magnetic resonance imaging features that are inconsistent with BPOP and having a novel chromosomal aberration. We also review the BPOP cases in our regional benign bone tumor database. Level of Clinical Evidence: 4 (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 16, 2009 Category: Orthopaedics Authors: Kar Hao Teoh, Nicholas Shortt, Graham Wilkinson, Donald M. Salter, James E. Robb, Daniel E. Porter Tags: Case Reports Source Type: journals

The Opening Base Wedge Osteotomy and Subsequent Lengthening of the First Metatarsal: An In Vitro StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Traditionally, the opening base wedge osteotomy has been indicated in a moderate to severe hallux abducto valgus deformity with a short first metatarsal. This in vitro study aimed to address the question of how much lengthening is inherent to the geometric design of an opening wedge in the first metatarsal. The preosteotomy length of a first metatarsal segment was compared with postosteotomy length after performing transverse and oblique basilar osteotomies while maintaining the opening wedge with a prefabricated spacer. In the current bench study, it was found that the opening base wedge osteotomy does indeed lengthen the...
Source: Journal of Foot and Ankle Surgery - September 16, 2009 Category: Orthopaedics Authors: Adam M. Budny, Suhail B. Masadeh, Michael C. Lyons, Stephen J. Frania Tags: Original Research Source Type: journals

Transosseous Fixation of the Distal Tibiofibular Syndesmosis: Comparison of an Interosseous Suture and Endobutton to Traditional Screw Fixation in 50 CasesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this prospective cohort study, we compared screw fixation to interosseous suture with endobutton repair of the syndesmosis. Outcomes of interest included preoperative and postoperative modified American Orthopedic Foot and Ankle Society (AOFAS) hindfoot and ankle scores, and Short Form-12 health status scores, as well as radiographic measurements and the time to full weight bearing. Mean averages and ranges were calculated for numeric variables, and outcomes for each fixation group were compared statistically with Student t test. The cohort consisted of 50 patients; 25 in the screw fixation group and 25 in the interosse...
Source: Journal of Foot and Ankle Surgery - September 16, 2009 Category: Orthopaedics Authors: James M. Cottom, Christopher F. Hyer, Terrence M. Philbin, Gregory C. Berlet Tags: Original Research Source Type: journals

An Anatomic and Autologous Lateral Ankle StabilizationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A new technique for stabilization of the lateral ankle ligaments is presented. The procedure uses a split peroneus longus tendon to recreate the calcaneofibular and anterior talofibular ligaments. The new ligaments follow a precise anatomic course that replicates the pathway of the original ligaments. The procedure also capitalizes on interference screw technology so that accurate ligament tension can be obtained. This technique is most useful for severe ligamentous insufficiency involving both the calcaneofibular and anterior talofibular ligaments. Biomechanical rationale for the use of peroneus longus is also discussed. ...
Source: Journal of Foot and Ankle Surgery - September 11, 2009 Category: Orthopaedics Authors: John M. Schuberth, Paul R. Smith, Meagan M. Jennings Tags: Tips, Quips, and Pearls Source Type: journals

Application of a Fasciocutaneous Free Flap for Treatment of a Severe Soft Tissue Injury of the Foot and Ankle: A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors report an unusual case wherein a fasciocutaneous free flap from an amputated upper limb was used to repair a severe soft tissue injury of the ipsilateral forefoot and ankle. After amputating the nonviable portions of the forefoot, a residual limb flap from the patient's forearm, pedicled with the brachial artery, was used to cover the lower extremity defect. Three years after the injury, the patient was able to maintain balance and ambulate without assistance on the reconstructed lower extremity. Level of Clinical Evidence: 4 (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 11, 2009 Category: Orthopaedics Authors: Gang Zhao, Xue-Cheng Cao, Cheng-Lin Sang, Jin-long Zheng, Jin-Fang Cai Tags: Case Reports Source Type: journals

The Dot-in-Circle Sign in Madura FootEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the case of a patient with Madura foot who was diagnosed with eumycetoma after the dot-in-circle sign, which has been previously reported in regard to magnetic resonance images of this lesion, was observed on both ultrasound and magnetic resonance images. Level of Clinical Evidence: 4 (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 11, 2009 Category: Orthopaedics Authors: Lee Parker, Dishan Singh, Carlo Biz Tags: Case Reports Source Type: journals

Chopart's Amputation for Resection of Clear Cell Sarcoma of the Foot: A Case Report and Review of the LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of CCS from our institution, discussing the radiological and pathological findings, surgical treatments, and survival prognoses. To our knowledge, this is the first reported case of using a Chopart's amputation technique in the resection of CCS of the foot. Level of Clinical Evidence: 4 (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - September 11, 2009 Category: Orthopaedics Authors: Manijeh Berenji, Christina Kwok-Oleksy, Binh Nguyen Dang, Michael J. Trepal, Marc K. Wallack Tags: Review Articles Source Type: journals

A Modified Jones Procedure for Managing Clawing of Lesser Toes in Pes Cavus: Long-term Follow-up in 8 PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pes cavus is a complex foot deformity in which surgical correction remains challenging. We treated lesser-toe clawing in 11 feet of 8 patients (5 women, 1 bilateral; 3 men, 2 bilateral) with a modified Jones procedure and assessed long-term functional outcomes. We reviewed case notes and completed the Bristol Foot Score, the modified American Orthopaedic Foot & Ankle Society Midfoot Score, and a patient satisfaction questionnaire by means of telephone interviews. Mean age of the patients at the time of surgery was 30 years (range, 10-58 years). Mean time from surgery to the last clinical follow-up was 7 years (range, 0.5-1...
Source: Journal of Foot and Ankle Surgery - September 11, 2009 Category: Orthopaedics Authors: Hari Kovilazhikathu Sugathan, David A. Sherlock Tags: Original Research Source Type: journals

Surgical Management of Closed Tibiotalar Dislocation: A Case Report and 2-Year Follow-UpEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a closed tibiotalar dislocation without an associated malleolar fracture, in the presence of medial malleolar hypoplasia, treated with closed reduction and surgical repair of the deltoid ligament, followed by cast immobilization. Postreduction radiographs, before open repair of the deltoid ligament, revealed an Elisé test ratio of 0.43. The ruptured superficial and deep portions of the deltoid ligament and the anterior ankle capsule were primarily repaired with suture, after which cast immobilization and non–weight bearing were used before physiotherapy and rehabilitation. Two years after the injury,...
Source: Journal of Foot and Ankle Surgery - September 7, 2009 Category: Orthopaedics Authors: Elias Fotiadis, Eustathios Kenanidis, Anastasios Hytas, Christos Lyrtzis, Miltiadis Koimtzis, Kiriaki Akritopoulou, Efthimios Samoladas Tags: Case Reports Source Type: journals

Is There Histomorphological Evidence of Plantar Metatarsal Fat Pad Atrophy in Patients with Diabetes?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The etiology of diabetic foot ulceration remains incompletely understood. Among other factors such as foot deformity in the presence of neuropathy, plantar fat pad atrophy has been identified as a contributory factor in diabetic foot ulceration. An association between fat pad atrophy and diabetic foot ulceration has been documented by imaging and histomorphological analysis of the calcaneal fat pad. However, histomorphological analysis of the metatarsal fat pad has not been performed to date. The present study entailed 14 patients with diabetes and 14 nondiabetic controls and was aimed at documenting histomorphological evi...
Source: Journal of Foot and Ankle Surgery - September 7, 2009 Category: Orthopaedics Authors: Ute Waldecker, Hans-Anton Lehr Tags: Original Research Source Type: journals

Pseudomonas Osteomyelitis of the Talus: Review of the Pathophysiology and Report of a Rare CaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hematogenous Pseudomonas aeruginosa osteomyelitis of the talus is a rare cause of ankle swelling and limping in children. The case presented herein is that of chronic osteomyelitis of the talus with sequestrum formation. The patient was successfully treated with sequestrectomy and curettage, immobilization, and antibiotic therapy. One year following the operation, the patient displayed mild restriction of ankle dorsiflexion, without evidence of inflammation or arthritis, and radiographs revealed remodeling of the talar neck with increased radiographic density at the site of sequestrectomy. There was no evidence of avascula...
Source: Journal of Foot and Ankle Surgery - September 4, 2009 Category: Orthopaedics Authors: Sagar Narang Tags: Review Articles Source Type: journals

Can Persistent Drop Foot After Calf Muscle Lengthening Be Predicted Preoperatively?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Calf muscle lengthening usually corrects equinus gait satisfactorily in stance. While in swing, the foot remains in drop foot in approximately half the limbs. The aim of this study was to evaluate if any preoperative clinical findings or kinematic and kinetic data could predict the outcome regarding drop foot. The study included 34 children with cerebral palsy. The average age was 9.3 years. Only children with preoperative maximum ankle dorsiflexion in stance and maximum ankle dorsiflexion in swing more than 2 standard deviations below the normal mean were included. The children underwent preoperative and postoperative cli...
Source: Journal of Foot and Ankle Surgery - September 2, 2009 Category: Orthopaedics Authors: Bjørn Lofterød, Merete Aarsland Fosdahl, Terje Terjesen Tags: Original Research Source Type: journals

Complications Associated with Autogenous Bone Marrow Aspirate Harvest from the Lower Extremity: An Observational Cohort StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this article is to report the complications associated with autogenous bone marrow aspirate harvested from the lower extremity (ie, tibia and/or calcaneus) for soft tissue and/or osseous healing augmentation. This is a multisite, multisurgeon, observational cohort study involving retrospective review of prospectively collected data of 548 autogenous bone marrow aspirate harvests from the lower extremity of 530 consecutive patients between August 2000 and March 2009. Each patient underwent autogenous bone marrow aspirate harvest from the proximal medial tibial metaphysis, distal medial tibial metaphysis, medi...
Source: Journal of Foot and Ankle Surgery - August 27, 2009 Category: Orthopaedics Authors: Thomas S. Roukis, Christopher F. Hyer, Terrance M. Philbin, Gregory C. Berlet, Thomas H. Lee Tags: Original Research Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Health Care Reform and the Public Option523 D. Scot Malay, DPM, MSCE, FACFAS (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 26, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
D. Scot Malay, DPM, MSCE, FACFAS Paul D. Dayton, DPM, FACFAS (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 26, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Information for SubscribersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Journal of Foot & Ankle Surgery® (ISSN 1067-2516) is published bimonthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. For Post Office use only: Volume 48, issue 5 of 6. Months of issue are January, March, May, July, September, and November. Periodicals postage paid at New York, NY and additional mailing offices. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 26, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

RetractionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the July/August 2008 issue of JFAS, we published the following article: Freschi SA, Vardaxis V, Dodson N. Analysis of compression forces between varying sizes of cannulated screws versus rail external fixation for treatment of Jones type fifth metatarsal fracture. J Foot Ankle Surg. 47(4): 295-8, 2008. Then, after learning that one of the listed authors had not consented to inclusion of his name, and that this same author had not participated in writing the manuscript that was submitted for peer review and editorial consideration, we published an erratum in the Volume 47, Number 6, November/December 2008 issue of JFAS, ...
Source: Journal of Foot and Ankle Surgery - August 26, 2009 Category: Orthopaedics Tags: Retraction Source Type: journals

First Metatarsal-Cuneiform Arthrodesis for the Treatment of First Ray Pathology: A Technical GuideEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The first tarsometatarsal arthrodesis is a powerful procedure often utilized in the correction of first ray pathology. It is primarily used to correct moderate to severe hallux abducto valgus deformity. The authors present this review as a summation of the classic and recent literature while offering a detailed illustrated technique guide for the first tarsometatarsal arthrodesis. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 26, 2009 Category: Orthopaedics Authors: Gregory A. Mote, Daniel Yarmel, Amber Treaster Tags: JFAS Techniques Guide Source Type: journals

Full-Scale 3D Preoperative Planning System for Calcaneal Osteotomy with a Multimedia SystemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study presents a new computer-assisted surgical planning and simulating system that employs a multimedia environment for calcaneal osteotomy surgery. The system uses a full-scale computer-assisted engineering technique for designing and developing preoperative planning modules. The planning system not only presents a real-sized 3-dimensional (3D) image of the calcaneus, but also provides detailed interior measurements of the calcaneus from various cutting planes. The multimedia user interface integrates the function of different software programs in order to plan and simulate the operation. These functions include 3D ...
Source: Journal of Foot and Ankle Surgery - August 26, 2009 Category: Orthopaedics Authors: Shuh-Ping Sun, Yi-Jiun Chou, Chun-Chia Sue Tags: Original Research Source Type: journals

Health Care Reform and the Public OptionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Like most Americans, I have been thinking a lot about health care reform as President Obama and the 111th Congress tackle the issue. And, like most health care providers, I know that the current system is dysfunctional for many reasons, but I am less certain about the remedy. Our patients' access to high-quality care must be our first priority, but we would not be human if we weren't also concerned about the effect on our livelihood. A number of options have been proposed, including mandated health insurance, consumer-directed health care, a public option health plan to compete against private insurers, a single-payer nati...
Source: Journal of Foot and Ankle Surgery - August 26, 2009 Category: Orthopaedics Authors: D. Scot Malay Tags: Editorial Source Type: journals

Cover 1Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - August 26, 2009 Category: Orthopaedics Source Type: journals

Total Talar Extrusion: A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of an open dislocation of the talus with total talar extrusion. Immediate surgical debridement, reduction, and external fixation were performed under antibiotic coverage. Antibiotic-impregnated polymethylmethacrylate beads were implanted and the wound underwent a second debridement and delayed primary closure at 48 hours post injury. The patient remained in an external fixator for 6 weeks. She was subsequently placed in a cast and remained non–weight bearing for an additional 6 weeks. Her wound healed uneventfully and she was permitted to begin progressive weight bearing at 12 weeks. The patient did not ...
Source: Journal of Foot and Ankle Surgery - July 21, 2009 Category: Orthopaedics Authors: Justin Fleming, Kimberly K. Hurley Tags: Case Reports Source Type: journals

Percutaneous Flexor Tenotomy for Treatment of Neuropathic Toe Ulceration Secondary to Toe Contracture in Persons with Diabetes: A Systematic ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Percutaneous flexor tenotomy has been proposed for treatment of neuropathic toe ulcerations secondary to toe contracture in persons with diabetes who have failed ongoing local wound care measures due to the perceived safety and efficacy. Because this patient population comprises a substantial proportion of the authors' practice, we undertook a systematic review of electronic databases and other relevant sources to identify material relating to the use of percutaneous flexor tenotomy for the treatment of neuropathic toe ulcerations secondary to toe contracture deformities in persons with diabetes. Information from peer-revi...
Source: Journal of Foot and Ankle Surgery - July 21, 2009 Category: Orthopaedics Authors: Thomas S. Roukis, Valerie L. Schade Tags: Review Articles Source Type: journals

A Technique for Isolated Arthrodesis of the Second Metatarsocuneiform JointEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Arthrodesis for primary osteoarthrosis of the second metatarsocuneiform joint has received little attention in the literature when compared to salvage of posttraumatic osteoarthrosis after Lisfranc fracture dislocation. The use of screw or plate fixation is commonly advocated for such in situ arthrodesis, and the use of trephine/dowel plugs has also been described. The authors present an alternate approach for addressing primary osteoarthrosis of the second metatarsocuneiform joint with the use of Kirschner wires fashioned into staples with cancellous bone graft interposition. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - July 20, 2009 Category: Orthopaedics Authors: Simon E. Smith, Craig A. Camasta, Andrea D. Cass Tags: Tips, Quips, and Pearls Source Type: journals

Osteochondral Autologous Graft in the Treatment of an Open Talar Fracture: A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the case of a 39-year-old man who sustained an open talar fracture of the right lower extremity and a supracondylar traumatic amputation of the left lower extremity. We used osteochondral chips from the femoral condyles of the amputated extremity as an autologous graft to reconstruct the talus and fixated these with Barouk screws. Two years postsurgery, the patient was pain free and without functional limitations, and his American Orthopaedic Foot and Ankle Society Scale score was 92, despite showing radiographic evidence of ankle joint space narrowing. Level of Clinical Evidence: 4 (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - July 20, 2009 Category: Orthopaedics Authors: Jorge Bowakim, Javier López-Goenaga, Javier Mayo, Julián del Río Tags: Case Reports Source Type: journals

Open Reduction-Internal Fixation of a Talar Body Fracture via Posterior Tibial Malleolar Osteotomy: A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Posterior talar fractures are rare and usually represent an isolated fracture of either the medial or lateral tubercle. Posterior talar body fractures can be difficult to fixate and reduce secondary to limited exposure. This single case study demonstrates an unusual posterior body talar fracture that was encroaching on the neurovascular structures. Because of the unusual fracture location and pattern, a posterior approach using a posterior malleolar osteotomy was used for exposure and open reduction-internal fixation (ORIF). To the best of the author's knowledge, this is the first report of a posterior malleolar osteotomy ...
Source: Journal of Foot and Ankle Surgery - July 16, 2009 Category: Orthopaedics Authors: Christopher F. Hyer Tags: Case Reports Source Type: journals

Frostbite of the Feet After Cryotherapy: A Report of Two CasesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The use of cryotherapy for the reduction of postoperative swelling and pain has become commonplace in orthopedic, podiatric, and cosmetic surgery. Prolonged exposure to extreme cold may induce an injury nearly identical to that of frostbite. The authors report on 2 patients who underwent podiatric orthopedic surgery and were exposed to prolonged cold therapy, which resulted in limb-threatening problems. Both patients had prolonged and essentially uninterrupted application of cryotherapy for 4 to 7 days, resulting in rewarming injuries of tissue necrosis. A team of specialists used limb salvage therapy to successfully treat...
Source: Journal of Foot and Ankle Surgery - July 16, 2009 Category: Orthopaedics Authors: William C. Brown, David B. Hahn Tags: Case Reports Source Type: journals

Cutaneous Non-Hodgkin's Lymphoma of the Foot: A Rare Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case involving a primary cutaneous marginal zone lymphoma of the foot, and highlight the clinical recognition and treatment of this condition. Level of Clinical Evidence: 4 (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - July 9, 2009 Category: Orthopaedics Authors: Crystal L. Ramanujam, Shirmeen Lakhani, Francis Derk, Rebecca Fulton, Thomas Zgonis Tags: Case Reports Source Type: journals

Tibial Osteomyelitis Due to Fonsecaea pedrosoi in an Immunocompetent Patient: Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of F. pedrosoi osteomyelitis in an immunocompetent patient. A high level of suspicion and routine fungal cultures are required to identify these cases. Tissue culture and pathologic examination are necessary for definitive diagnosis and for distinguishing infection from colonization. Therapy includes antifungal drugs (itraconazole) and aggressive surgical debridement, and, even when these modalities are readily implemented, the outcome may not be optimal because of the angioinvasive character of the organism. Level of Clinical Evidence: 4 (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - July 9, 2009 Category: Orthopaedics Authors: Raju Karuppal, Chathoth Meethal Kumaran, Anwar Marthya, Chilambeth Veetil Manoj Kumar, Mini P. Narayanan, Rajendran V. Raman, Sheila Thomas Tags: Case Reports Source Type: journals

A Retrospective Analysis of 22 Patients Treated with Percutaneous Radiofrequency Nerve Ablation for Prolonged Moderate to Severe Heel Pain Associated with Plantar FasciitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A retrospective study involving 22 patients (31 feet) with a history of prolonged moderate to severe heel pain associated with plantar fasciitis were examined to determine if ablation of the sensory branch of the medial calcaneal nerve would result in symptomatic relief. Participants in this study were given subjective questionnaires and visual analog scales in order to rate their symptoms before and after nerve ablation using radiofrequency energy. The results showed that the mean preintervention visual analog pain score was 8.12 ± 1.61 (with 10 being the worst pain the patient could imagine), and this dropped to 3.26 ±...
Source: Journal of Foot and Ankle Surgery - July 8, 2009 Category: Orthopaedics Authors: Brock Liden, Melitta Simmons, Adam S. Landsman Tags: Original Research Source Type: journals

Dorsal Suspension Stitch: An Alternative Stabilization After Flexor Tenotomy for Flexible Hammer Digit SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The focus of this communication is to share an alternative form of positional maintenance for use after correction of flexible hammer digits via flexor tenotomy. The toe is maintained in a corrected position by means of a wide, horizontal mattress stitch with the suture passing through the extensor apparatus both proximal and distal to the interphalangeal joints. This suture prevents recurrence of plantarflexion contracture of the toe during the postoperative period without the use of Kirschner wire fixation. We have noted satisfactory maintenance and healing with this technique. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - July 7, 2009 Category: Orthopaedics Authors: Paul Dayton, David Smith Tags: Tips, Quips, and Pearls Source Type: journals

Intratendinous Septic Abscess of the Achilles Tendon after Local Steroid InjectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the treatment of pathological processes of the skeletal system, local injection of corticosteroid has become a common form of treatment. Although rare, pyogenic abscess can develop secondary to local corticosteroid injection. In this article, we describe the case of a patient who presented with pain, swelling, and hyperemia following local infiltration of corticosteroid about the Achilles tendon. Magnetic resonance image scanning of the Achilles tendon revealed a smoothly shaped intratendinous mass 3 × 1 cm in diameter, extending to the posterosuperior aspect of the calcaneus. A needle aspiration of the suspected absce...
Source: Journal of Foot and Ankle Surgery - July 7, 2009 Category: Orthopaedics Authors: Necdet Saglam, Fuat Akpinar Tags: Case Reports Source Type: journals

Arthrodesis of the First Metatarsophalangeal Joint Using a Single Screw: Retrospective Analysis of 109 FeetEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Arthrodesis of the first metatarsophalangeal joint is a recommended technique for hallux rigidus. The preparation of the joint surfaces and the way in which fixation is achieved might be relevant in success or failure of the arthrodesis. All patients were selected from archived records of operations performed at the ‘Groene Hart’ Hospital in Gouda, the Netherlands, from 1996 until 2005. Patients were operated following a fixed protocol using flat surfaces and a single compression screw bridging the arthrodesis from proximal medial to distal lateral. Their charts were reviewed retrospectively. Answers to questions regar...
Source: Journal of Foot and Ankle Surgery - July 3, 2009 Category: Orthopaedics Authors: Sander Wassink, Martin van den Oever Tags: Original Research Source Type: journals

Ankle Valgus and Subtalar Varus in Treated ClubfootEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to clarify whether residual subtalar varus in treated clubfoot affects the configuration of the ankle joint in the coronal plane. Radiographic characteristics of the ankle and subtalar joint in congenital clubfoot, after a minimum of 10 years of treatment, were analyzed and presented. Weight-bearing radiographs of the ankles and feet, as well as computerized tomographic images of the hindfoot, were obtained for 30 patients (41 feet), at a mean of 15.2 ± 6.1 years after initial treatment. Subtalar varus was measured in terms of the tilting angle of the posterior facet of the talocalcaneal join...
Source: Journal of Foot and Ankle Surgery - July 3, 2009 Category: Orthopaedics Authors: Yuji Nabeshima, Hiroyuki Mori, Hideo Fujii, Akihiro Ozaki, Makoto Mitani, Hiroyuki Fujioka Tags: Original Research Source Type: journals

Diffuse Pigmented Villonodular Synovitis in the Metatarsophalangeal Joint of the Hallux: A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 60-year-old woman presented to our institution with a 2-month history of swelling and unrelieved pain on walking, localized to the right hallux. Magnetic resonance image scans revealed a multinodular soft tissue mass with low signal intensity on both T1- and T2-weighted images. Microscopic examination of a specimen procured using fine-needle biopsy revealed multinucleated giant cells, hemosiderin deposition, and foaming histiocytes, indicative of pigmented villonodular synovitis. Thereafter, excision of the mass and a thorough synovectomy were carried out using 2 separate longitudinal incisions. Although pigmented villon...
Source: Journal of Foot and Ankle Surgery - July 2, 2009 Category: Orthopaedics Authors: Yuji Nabeshima, Hiroyuki Mori, Makoto Mitani, Issei Nagura, Akihiro Ozaki, Hideo Fujii, Minoru Doita Tags: Case Reports Source Type: journals

Joint Curettage Arthrodesis Technique in the Foot: A Histological AnalysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Arthrodesis via joint contour preservation using the curettage method has become popular in foot and ankle surgery to avoid segmental shortening and the need to bone graft. Despite its popularity, the effect of joint curettage has never been histologically evaluated. Knowledge of the histological appearance after joint curettage would be helpful to the foot and ankle surgeon to better understand the function of joint surface preparation for arthrodesis. Five cadaver specimens were used to harvest the first metatarsocuneiform and subtalar joints for routine histological analysis after performing joint curettage technique. O...
Source: Journal of Foot and Ankle Surgery - July 2, 2009 Category: Orthopaedics Authors: Justin T. Johnson, John M. Schuberth, Sean D. Thornton, Jeffrey C. Christensen Tags: Original Research Source Type: journals

The Laterality of the Surgical Correction of Forefoot PathologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to determine if a laterality prevalence exists for surgically corrected forefoot deformities. All cases performed at the Inova Fairfax Hospital Ambulatory Surgery Center over a 76-month period were reviewed and classified into the following categories: hallux abductovalgus deformity correction, hallux limitus deformity correction, specific digital deformity correction, neuroma surgery, and combinations of these categories (n = 1821). Our analyses indicated no laterality difference in the surgical correction of most common forefoot pathologies. A measure of all examined surgical corrections (...
Source: Journal of Foot and Ankle Surgery - July 2, 2009 Category: Orthopaedics Authors: Andrew J. Meyr, Queen J. Mbanuzue, Michael J. Sheridan, Atoosa Kashani Tags: Original Research Source Type: journals

The Effect of Cigarette Smoking on Radiographic Bone Healing After Elective Foot SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aims to compare radiographic healing rates of Austin bunionectomies in smokers, nonsmokers, and secondhand smokers. Delayed bone healing has been linked to cigarette smoking previously, but no study is known to have examined smoking in relation to elective foot surgery. We hypothesized that smoking will delay bone healing after elective foot surgery. Surgical patients were placed into 1 of 3 cigarette smoking–related groups. Nicotine dependence was measured by the standardized modified Fagerström est and a urine cotinine test. Bone healing was determined via examination of postsurgical radiographs. Outcomes w...
Source: Journal of Foot and Ankle Surgery - July 2, 2009 Category: Orthopaedics Authors: Kristopher W. Krannitz, Hon W. Fong, Lawrence M. Fallat, John Kish Tags: Original Research Source Type: journals

Epidemiological Aspects of the Surgical Correction of Structural Forefoot PathologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this study was to associate structural forefoot surgical correction with theories related to the etiology of structural forefoot pathology. All forefoot surgical cases performed at the Inova Fairfax Hospital Ambulatory Surgery Center over a 76-month period (January 2001 through April 2007) were reviewed and classified according to the following surgical categories: hallux abductovalgus, hallux limitus, lesser digital deformity, and combinations of these categories (N = 1684 procedures in 1592 patients). The results suggested that the etiology of lesser digital deformity was associated with the etiology of hallux...
Source: Journal of Foot and Ankle Surgery - June 30, 2009 Category: Orthopaedics Authors: Andrew J. Meyr, Melissa L. Adams, Michael J. Sheridan, Ryan G. Ahalt Tags: Original Research Source Type: journals

The In Vitro Elution Characteristics of Vancomycin From Calcium Phosphate–Calcium Sulfate BeadsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, calcium phosphate−calcium sulfate composite beads, when combined with vancomycin, elute vancomycin in a gradual and sustained fashion for 22 days in vitro. Level of Clinical Evidence: 2 (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - June 30, 2009 Category: Orthopaedics Authors: Brandon M. Scharer, Shawn M. Sanicola Tags: Original Research Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bioethics and the Foot and Ankle Surgeon419 D. Scot Malay, DPM, MSCE, FACFAS (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - June 30, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
D. Scot Malay, DPM, MSCE, FACFAS Paul D. Dayton, DPM, FACFAS (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - June 30, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals

Information for SubscribersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Journal of Foot & Ankle Surgery® (ISSN 1067-2516) is the official journal of the American College of Foot and Ankle Surgeons and is published bimonthly by Elsevier. Corporate and Editorial Offices: 1600 John F. Kennedy Blvd, Suite 1800, Philadelphia, PA 19103-2899. Known Office of Publication, Accounting and Circulation Offices: 11830 Westline Industrial Drive, St. Louis, MO 63146. For Post Office use only: Volume 48, issue 3 of 6. Months of issue are January, March, May, July, September, and November. Periodicals postage paid at Orlando, Florida 32862, and at additional mailing offices. (Source: Journal of Foot and Ankle Surgery)
Source: Journal of Foot and Ankle Surgery - June 30, 2009 Category: Orthopaedics Tags: Frontmatter Source Type: journals