Foot and ankle clinics

Publisher: Elsevier


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  • Other titles
    Foot and ankle clinics (Online), Foot and ankle clinics
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  • Material type
    Document, Periodical, Internet resource
  • Document type
    Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details


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    • Deposit due to Funding Body, Institutional and Governmental policy or mandate only allowed where separate agreement between repository and the publisher exists.
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    • Articles in some journals can be made Open Access on payment of additional charge
    • NIH Authors articles will be submitted to PubMed Central after 12 months
    • Publisher last contacted on 18/10/2013
  • Classification
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Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Flexible forefoot deformities, such as hallux varus, clawed hallux, hammer toes, and angular lesser toe deformities, can be treated effectively with tendon transfers. Based on the presentation of the flexible forefoot deformities, tendon transfers can be used as the primary treatment or as adjuncts to bony procedures when there are components of fixed deformities.
    Foot and ankle clinics 03/2014; 19(1):123-137.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this article is to update the orthopedic community on the planning and implementation of tendon transfers in the foot and ankle. This information will serve to reinforce those principles and factors that are inherent in successful performance of tendon transfer. In addition, the authors highlight recent updates that impact decision-making for these procedures.
    Foot and ankle clinics 03/2014; 19(1):17-27.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Claw hallux is a deformity of the great toe attributed to muscular imbalance. This article describes diagnosis and treatment of this condition. Particular attention is given to surgical techniques such as Jones technique and modified Jones technique.
    Foot and ankle clinics 03/2014; 19(1):59-63.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Reports have demonstrated that peroneal tendon tears can be successfully treated by direct repair or debridement and tubularization, based on the extent and nature of the pathology. Irreparable peroneal tendon tears or completely unsalvageable tendons after failure of previously attempted repairs are rare, and as a result there is a lack of high-level evidence to guide the management of these complex injuries. When irreparable tears are encountered the salvage options include tenodesis, bridging of the defect using allografts or autografts, and tendon transfers. The choice of treatment strategy depends on the presence of a functioning tendon or tendons and the viability and excursion of the peroneal musculature.
    Foot and ankle clinics 03/2014; 19(1):87-95.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The use of tendon transfers in the cavovarus foot is a common surgical procedure because of the muscular imbalance present in this pathologic condition. Therefore, deforming forces are transferred to obtain movement and function. General principles must be followed for transfers to work; depending on the muscle deficiency and the function to restore, different tendon transfer options exist. The authors do not recommend tendon transfers for forefoot deformities in this setting. Postoperatively tendon transfers should be protected in a removable boot, but early protected weight bearing and motion is stimulated to obtain a well-functioning transfer and not a tenodesis.
    Foot and ankle clinics 03/2014; 19(1):49-58.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The paralytic drop foot represents a challenging problem for even the most experienced orthopedic surgeon. Careful patient selection, thorough preoperative examination and planning, and application of tendon transfer biomechanical and physiologic principles outlined in this article can lead to successful results, either through a posterior tibialis tendon transfer, Bridle transfer, or variations on these procedures. Achilles lengthening or gastrocnemius recession may also be needed at the time of tendon transfer.
    Foot and ankle clinics 03/2014; 19(1):65-71.
  • [Show abstract] [Hide abstract]
    ABSTRACT: It is essential to determine the functional goals of the patient during the workup and treatment planning stages of neuromuscular disorders involving the foot and ankle. Accurate diagnosis, and informed discussion of treatment options, must be in the context of the patient's disease, cognition, comorbidities, functional attributes, and family environment. A thorough history and physical examination aid in appropriate diagnostic workup and optimal orthopedic management of each patient. In this article, general considerations in the workup of suspected neuromuscular disorders and issues pertinent to specific congenital and acquired neuromuscular disorders affecting foot and ankle function are reviewed.
    Foot and ankle clinics 03/2014; 19(1):1-16.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Tendon transfer procedures are useful for replacing a dysfunctional or diseased tendon or for restoring muscle imbalance. The tendon to be transferred is harvested as distal as is necessary to provide adequate length for rerouting and attachment at the different site. The harvesting of tendon itself can be attained using an open surgical approach or minimally invasive percutaneous techniques that limit surgical exposure. This article describes percutaneous techniques for tendon transfer procedures used to address foot and ankle disorders.
    Foot and ankle clinics 03/2014; 19(1):113-122.
  • Article: Preface.
    Foot and ankle clinics 03/2014; 19(1):ix.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Spastic foot and ankle deformities can occur from various causes and have profound effects on individuals and society. Presentations can vary clinically and a thorough clinical evaluation, potentially with a dynamic electromyogram, is essential to selecting the most appropriate treatment. Nonoperative treatments, such as orthotics, casting, oral medications, and nerve blocks, can be effective but surgery is indicated if they are no longer effective. Of the various operative procedures to treat this condition, split anterior tibialis tendon transfer and tendo Achilles lengthening are the most commonly performed. Multiple surgical options have been shown to be effective.
    Foot and ankle clinics 03/2014; 19(1):97-111.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The Achilles tendon is the strongest tendon in the human body and, as such, has its share of problems. Although many conditions affecting this tendon can be treated nonoperatively, surgical intervention is often necessary. Local, regional, distant, and allograft tendon can be used to supplement or enhance reconstruction or repair of the Achilles tendon. Specific techniques are explored and described and the published results from the literature summarized. This article explores the use of tendon transfers and supplementation in the treatment of insertional and noninsertional Achilles tendinosis as well as in cases of neglected or chronic ruptures of the tendoachilles.
    Foot and ankle clinics 03/2014; 19(1):73-86.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Tendon transfers are critical to successful surgical correction of adult flexible flatfoot deformity and may be beneficial in correcting rigid deformities as well. Patients with refractory stage I and II deformities often require selective osteotomies in addition to tendon transfer. Patients with stage III and IV deformities typically require hindfoot arthrodesis. One of several tendons can be used for transfer based on surgeon's preference. Flexor digitorum longus (FDL) and flexor hallucis longus (FHL) transfers have been shown to have good results. A peroneus brevis transfer is typically used to supplement small FDL or FHL transfer donors or in revision cases.
    Foot and ankle clinics 03/2014; 19(1):29-48.
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article reviews the role of cavus in foot and ankle injury and summarizes the current surgical and nonsurgical treatments. Recognition of foot position is crucial in the management of ankle instability associated with cavovarus. Correcting foot alignment with orthoses or surgery improves the mechanics of the ankle, reducing the risk of instability and potentially delaying the onset of posttraumatic ankle arthritis. Progressive steps in the correction alignment are described, with technical tips and strategies for dealing with chronic instability.
    Foot and ankle clinics 12/2013; 18(4):643-57.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Adult cavovarus deformity patients present with rigid cavovarus deformity, where the correction can no longer be obtained using soft tissue procedures alone, and corrective arthrodesis or osteotomy must be performed to realign the deformity. Reconstructive surgeries for cavovarus foot deformities are variable and include hindfoot or midfoot osteotomy or arthrodesis, soft tissue release or lengthening, and tendon transfers. Recently adult cavovarus foot deformities have been more commonly addressed with joint preservation osteotomies and adjunctive soft tissue surgeries and less with triple arthrodesis. Clinical and radiographic outcomes are overall favorable.
    Foot and ankle clinics 12/2013; 18(4):659-71.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Flexible cavovarus feet in children and adolescents can be challenging. A careful history and physical examination are paramount for determining the best treatment strategy and a multitude of options are available. Specific treatment strategies should be individualized and any bony correction must be in conjunction with a muscle balancing procedure. Well-timed soft tissue and occasionally bony procedures can delay the progression of deformity. These patients are monitored long term because further treatment may be required.
    Foot and ankle clinics 12/2013; 18(4):715-26.
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article reviews historical approaches to the various osteotomies in the treatment of rigid cavus feet in children, with an emphasis on the biplanar nature of historical osteotomies. The Akron dome midfoot osteotomy is performed at the apex of the rigid cavus deformity and allows for maximum correction in any plane, and for varus, valgus, dorsal, plantar, and rotational correction. In that regard, the Akron dome midfoot osteotomy provides the greatest amount of multiplanar correction. It does not, however, provide correction of hindfoot deformities or deformity distal to the neck of the metatarsal.
    Foot and ankle clinics 12/2013; 18(4):727-41.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Cavovarus deformity results from an imbalance of the foot's extrinsic musculature. Conditions leading to weakness of an isolated muscle result from nerve injury or sequelae of a compartment syndrome. When weakness of a muscle group presents, an underlying neurologic disorder must be suspected. Patients with hereditary sensory motor neuropathy present with a progressive pattern of imbalance and deformity. The deformity starts out flexible but becomes rigid over time. Rebalance muscle pull to realign the foot and ankle is important. Osteotomies and arthrodesis to realign the hindfoot will not maintain alignment as long as the agonist-antagonist pattern is not re-established.
    Foot and ankle clinics 12/2013; 18(4):689-95.
  • [Show abstract] [Hide abstract]
    ABSTRACT: When the cavus foot has become rigid, midfoot and triple arthrodesis may be the only reasonable surgical options left. The apex of the deformity is multiplanar and some deformities may have more than one apex. The best outcomes are achieved with minimal shortening of the foot, so correction should be by rotation and translation and with minimal wedge resection wherever possible. Posterior tibial tendon transfer and peroneus longus transfer are nearly always required for correction. If the principles of soft tissue balancing are followed, arthrodesis is an excellent procedure despite the literature that states to the contrary.
    Foot and ankle clinics 12/2013; 18(4):755-67.