Foot and ankle clinics

Publisher: WB Saunders

Journal description

Current impact factor: 0.84

Impact Factor Rankings

2015 Impact Factor Available summer 2015
2013 / 2014 Impact Factor 0.844
2012 Impact Factor 0.899
2011 Impact Factor 0.709

Impact factor over time

Impact factor

Additional details

5-year impact 0.00
Cited half-life 0.00
Immediacy index 0.00
Eigenfactor 0.00
Article influence 0.00
Other titles Foot and ankle clinics (Online), Foot and ankle clinics
ISSN 1558-1934
OCLC 60626385
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

WB Saunders

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    • Author can archive a pre-print version
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    • Author can archive a post-print version
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    • 'WB Saunders' is an imprint of 'Elsevier'
  • Classification
    ​ green

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Understanding subtalar joint biomechanics and pathomechanics provides a framework for understanding both common pathologic hindfoot and forefoot conditions and surgical planning. It is important to identify mechanical impairment and to define what mechanical effect is needed to change a pathologic condition. It is also important to know what the initial problem is and what the consequences are in terms of soft tissue or bony stress leading to peritalar injury. Whenever possible, one should try to operate to change pathomechanics and facilitate spontaneous repair of stressed structures. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 06/2015; 20(2). DOI:10.1016/j.fcl.2015.02.001
  • Article: Preface.
    Foot and ankle clinics 03/2014; 19(1):ix. DOI:10.1016/j.fcl.2013.12.001
  • [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. DOI:10.1016/j.fcl.2013.10.005
  • [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. DOI:10.1016/j.fcl.2013.10.008
  • [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. DOI:10.1016/j.fcl.2013.10.007
  • [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. DOI:10.1016/j.fcl.2013.11.002
  • [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. DOI:10.1016/j.fcl.2013.10.006
  • [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. DOI:10.1016/j.fcl.2013.10.003
  • [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. DOI:10.1016/j.fcl.2013.11.001
  • [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. DOI:10.1016/j.fcl.2013.11.003
  • [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. DOI:10.1016/j.fcl.2013.10.002
  • [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. DOI:10.1016/j.fcl.2013.12.002
  • [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. DOI:10.1016/j.fcl.2013.10.004
  • [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. DOI:10.1016/j.fcl.2013.08.005
  • [Show abstract] [Hide abstract]
    ABSTRACT: The key to successful management of the cavovarus foot is identifying the pathoanatomy and dysfunction that are driving the deformity and producing the symptoms. There is no substitute for a thorough clinical evaluation of the foot, evaluating the static alignment and dynamic function. Plain films alone are not sufficient to determine the diagnosis, but they are necessary for procedure selection and correction planning. This is especially true for assessing the degree of hindfoot varus. Some issues are difficult to diagnose, and imaging plays an important role.
    Foot and ankle clinics 12/2013; 18(4):619-28. DOI:10.1016/j.fcl.2013.08.010
  • [Show abstract] [Hide abstract]
    ABSTRACT: Charcot-Marie-Tooth disease is an inherited neuropathy that results in lower limb muscle imbalance and a resultant cavovarus deformity of the foot. With recognized poor outcomes of triple arthrodeses in the young patient, joint sparing surgery is preferred, which takes the form of osteotomies, soft-tissue releases, and tendon transfers to achieve a plantigrade and balanced foot. Due to the variability in muscle involvement and the presence of both mobile and fixed deformities, surgery must be individualized to each patient.
    Foot and ankle clinics 12/2013; 18(4):673-88. DOI:10.1016/j.fcl.2013.08.008
  • [Show abstract] [Hide abstract]
    ABSTRACT: Cavovarus is a deformity commonly associated with a variety of underlying disorders, and treatment of severe cavovarus foot with an underlying progressive disorder is very challenging. Often patients have undergone some prior surgery at least once, with increased potential risk of neurovascular injury and breakdown of soft tissue. In addition, concomitant problems such as torsional malalignment and leg-length discrepancy should also be addressed to prevent recurrence and treatment failure. In this article, indications and an algorithmic approach with various osteotomies for the treatment of cavovarus deformity using external fixation are discussed in detail.
    Foot and ankle clinics 12/2013; 18(4):743-53. DOI:10.1016/j.fcl.2013.08.011
  • [Show abstract] [Hide abstract]
    ABSTRACT: Calcaneal osteotomy is a commonly used tool in cavovarus foot reconstructions. Understanding the indications and limitations of such an osteotomy is critical to success in reconstruction. We present a comprehensive review of surgical calcaneal osteotomy techniques and the currently available state of literature for their indications and limitations.
    Foot and ankle clinics 12/2013; 18(4):697-714. DOI:10.1016/j.fcl.2013.08.001
  • Foot and ankle clinics 12/2013; 18(4):xiii-xiv. DOI:10.1016/j.fcl.2013.08.009