Foot and ankle clinics

Publisher: WB Saunders

Current impact factor: 0.76

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 0.755
2013 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 0.99
Cited half-life 8.50
Immediacy index 0.08
Eigenfactor 0.00
Article influence 0.30
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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    • Publisher last reviewed on 03/07/2015
    • 'WB Saunders' is an imprint of 'Elsevier'
  • Classification

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Multiple treatment options exist for the management of late-stage hallux rigidus. The goals of treatment are pain reduction and restoration of function. Arthrodesis remains the treatment of choice, but recent advances support the use of first metatarsophalangeal hemiarthroplasty as a viable and successful option in properly selected patients in whom preservation of motion and function are desirable. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 09/2015; 20(3):503-12. DOI:10.1016/j.fcl.2015.05.002
  • [Show abstract] [Hide abstract]
    ABSTRACT: Metatarsus elevatus and gastrocnemius tightness contribute to the development of functional hallux rigidus. Although several osteotomies have been described for functional hallux rigidus, certain osteotomies are commonly used in practice for the correction of functional hallux rigidus, a long first metatarsal or an elevated metatarsal, or an unstable tarsometatarsal joint. Proximal plantarflexion osteotomy is used only in the presence of an elevated first metatarsal with a limit to dorsiflexion but without the presence of arthritis at the first metatarsophalangeal joint. In the presence of arthritis at the metatarsophalangeal joint, the decision is between an oblique distal metatarsal osteotomy and the shortening periarticular osteotomy. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 09/2015; 20(3):493-502. DOI:10.1016/j.fcl.2015.05.001
  • [Show abstract] [Hide abstract]
    ABSTRACT: Cheilectomy consists of excision of the dorsal exostosis and part of the metatarsal head. It is typically performed for patients in the earlier stages of hallux rigidus presenting with dorsal pain and dorsiflexion stiffness in the absence of through-range symptoms, rest pain, and plantar pain and with negative result on grind test. If joint motion-preserving surgery is appropriate, then cheilectomy is generally considered to be the first-line surgical choice. In addition to the standard open technique, minimally invasive surgery in the form of either percutaneous or arthroscopic surgery is available. The indications, surgical techniques, and outcomes are discussed. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 09/2015; 20(3):421-31. DOI:10.1016/j.fcl.2015.04.005
  • [Show abstract] [Hide abstract]
    ABSTRACT: Advanced stages of hallux rigidus are usually treated with various arthroplasties or arthrodesis. Recent results with resurfacing of the metatarsal head have shown promising results and outcomes similar or superior to those of arthrodesis. In this article, the authors show their preoperative decision making, surgical techniques, postoperative management, results, and a comparative literature review to identify metatarsal head resurfacing as an acceptable technique for the treatment of advanced hallux rigidus in active patients. Key points in this article are adequate soft tissue release, immediate rigid fixation of the components, and appropriate alignment of the components. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 09/2015; 20(3):451-63. DOI:10.1016/j.fcl.2015.04.007
  • [Show abstract] [Hide abstract]
    ABSTRACT: Hallux rigidus is the most common arthritic malady to afflict the foot. A host of nonoperative measures can alleviate pain, and with failure of conservative treatment, joint preserving and joint sacrificing procedures can be used to treat persistent symptoms. Although arthrodesis is an effective pain-relieving operation, loss of motion at the hallux metatarsophalangeal joint may limit the patient's function and can be an unacceptable solution. Various types of interposition arthroplasty can offer a motion-preserving alternative to arthrodesis. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 09/2015; 20(3):513-24. DOI:10.1016/j.fcl.2015.05.003
  • [Show abstract] [Hide abstract]
    ABSTRACT: Hallux rigidus is a common cause of pain and decreased range of motion of the first metatarsophalangeal joint, notably with loss of dorsiflexion. Hallux rigidus is the second most common disorder affecting the great toe. The primary cause of hallux rigidus is thought to be a traumatic event, a culmination of microtrauma, or an alteration in kinematics leading to a loss of articular cartilage and dorsal osteophyte formation. Surgical treatments include Moberg osteotomy, also referred to as a proximal phalanx extension osteotomy. This article discusses current techniques, developments, complications, outcomes, and management of the Moberg osteotomy. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 09/2015; 20(3):433-50. DOI:10.1016/j.fcl.2015.04.006

  • Foot and ankle clinics 09/2015; 20(3):xiii-xiv. DOI:10.1016/j.fcl.2015.07.001
  • [Show abstract] [Hide abstract]
    ABSTRACT: Hallux rigidus is a painful condition of the great toe characterized by restriction of the metatarsophalangeal joint arc of motion and progressive osteophyte formation. Precise cause of hallux rigidus remains under debate. Anatomic variations and historical, clinical, and radiographic findings have been implicated in the development and progression of hallux rigidus. Radiologic findings associated with hallux rigidus include metatarsal head osteochondral defects, altered metatarsal head morphology, and an elevated hallux interphalangeus angle measure. Associated historical findings include a positive family history and history of trauma to the joint. An understanding of relevant anatomy and pathophysiology is essential during the approach to hallux rigidus treatment. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 09/2015; 20(3):381-9. DOI:10.1016/j.fcl.2015.04.001
  • [Show abstract] [Hide abstract]
    ABSTRACT: Hallux rigidus is the most commonly occurring arthritic condition of the foot and is marked by pain, limited motion in the sagittal plane of the first metatarsophalangeal joint and varying degrees of functional impairment. In conjunction with clinical findings, radiographic grading helps guide therapeutic choices. Nonsurgical management with anti-inflammatory medications, corticosteroid injections, or shoewear and activity modifications can be successful in appropriately selected patients. Patients with more severe disease or refractory to conservative management may benefit from surgical intervention. Operative options range from joint-preserving procedures (eg, cheilectomy with or without associated osteotomies) to joint-altering procedures (eg, arthroplasty or arthrodesis). Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 09/2015; 20(3):391-9. DOI:10.1016/j.fcl.2015.04.002
  • [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
  • [Show abstract] [Hide abstract]
    ABSTRACT: First metatarsophalangeal joint disorder is a common cause of chronic forefoot pain that is frequently encountered in the orthopedic clinic. Numerous surgical techniques have been described to improve patient pain and function in this regard, including prosthetic joint replacement, resection arthroplasty, and arthrodesis. When these procedures fail, surgeons can be confronted with significant first metatarsal bone loss/defects. First metatarsophalangeal joint fusion remains the gold standard, and, in the setting of significant bone loss, the use of structural bone graft must be considered in order to restore length to the first ray and the normal biomechanics of the foot. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 06/2015; 20(3). DOI:10.1016/j.fcl.2015.04.009
  • [Show abstract] [Hide abstract]
    ABSTRACT: Anterior ankle arthroscopy is a useful, minimally invasive technique for diagnosing and treating ankle conditions. Arthroscopic treatment offers the benefit of decreased surgical morbidity, less postoperative pain, and earlier return to activities. Indications for anterior ankle arthroscopy continue to expand, including ankle instability, impingement, management of osteochondritis dissecans, synovectomy, and loose body removal. Anterior ankle arthroscopy has its own set of inherent risks and complications. Surgeons can decrease the risk of complications through mastery of ankle anatomy and biomechanics, and by careful preoperative planning and meticulous surgical technique. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 03/2015; 20(1):41-57. DOI:10.1016/j.fcl.2014.10.001
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    ABSTRACT: The emergence of subtalar arthroscopy has improved the understanding and accuracy of diagnosing several hindfoot pathologic conditions, in particular, sinus tarsi syndrome. Subtalar arthroscopy has evolved into a useful diagnostic and therapeutic tool. The surgeon's experience is still essential to achieve good results. This article reviews the clinical indications, surgical techniques, and outcomes of subtalar arthroscopy. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 03/2015; 20(1):93-108. DOI:10.1016/j.fcl.2014.10.010
  • [Show abstract] [Hide abstract]
    ABSTRACT: With mounting attention focused on decreasing postsurgical pain and dysfunction, emphasis has been placed on approaching disorders using minimally invasive techniques. Surgical procedures of the hallux, such as hallux valgus correction, have earned the reputation for high postsurgical pain and prolonged recovery. Arthroscopic hallux procedures have the advantages of minimizing pain, swelling, and disability. Certain conditions, such as synovitis, loose bodies, and early-grade hallux rigidus, are better addressed arthroscopically. With the correct indications, hallux metatarsophalangeal arthroscopy can be a valuable tool for the foot and ankle surgeon. Copyright © 2015 Elsevier Inc. All rights reserved.
    Foot and ankle clinics 03/2015; 20(1):109-122. DOI:10.1016/j.fcl.2014.10.012

  • Foot and ankle clinics 12/2014; 19(4):xiii-xiv. DOI:10.1016/j.fcl.2014.09.003
  • [Show abstract] [Hide abstract]
    ABSTRACT: The treatment of hallux valgus depends on multiple factors, including clinical examination, patient considerations, clinical findings, radiographic assessment, and surgeon preference. Appropriate procedure selection and proper technique will usually result in good-to-excellent outcomes. Complications following hallux valgus correction include recurrence, transfer metatarsalgia, avascular necrosis, hallux varus, and nonunion and malunion of metatarsal osteotomies. In order to decrease the risks of complication, a precise and meticulous physical examination should be conducted preoperatively. In addition, a surgeon should select appropriate osteotomies to correct complex hallux valgus deformities. As a general principle, the severity of deformity dictates treatment options.
    Foot and ankle clinics 09/2014; 19(3). DOI:10.1016/j.fcl.2014.06.003
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    ABSTRACT: Interdigital neuromas are a common cause of forefoot pain, and approximately 80% of patients require surgical excision for symptom relief. Although 50% to 85% of patients obtain relief after primary excision, symptoms may recur because of an incorrect diagnosis, inadequate resection, or adherence of pressure on a nerve stump neuroma. The symptom relief rate after reoperation is similar to that after primary excision. A plantar longitudinal incision provides optimal exposure, and transposition of the nerve stump into bone or muscle and avoids traction or pressure on the nerve ending that can result in a painful stump neuroma. Preoperative counseling is essential to align patient expectations with potential outcomes.
    Foot and ankle clinics 09/2014; 19(3). DOI:10.1016/j.fcl.2014.06.006
  • [Show abstract] [Hide abstract]
    ABSTRACT: Cheilectomy is commonly performed for osteoarthritis of the first metatarsophalangeal joint and generally has a successful outcome and high rate of patient satisfaction over the short to medium term. Despite the relatively good results achieved in most cases, a proportion of patients have ongoing pain after cheilectomy. This article outlines the potential causes of ongoing pain, including progression of osteoarthritis, neuralgic symptoms, and transfer metatarsalgia. Management strategies for treating the ongoing symptoms are discussed.
    Foot and ankle clinics 09/2014; 19(3). DOI:10.1016/j.fcl.2014.06.002
  • [Show abstract] [Hide abstract]
    ABSTRACT: Patients with a preexisting hindfoot deformity, who undergo resection (with or without soft tissue interposition) of a tarsal coalition, may present with recurrent pain and worsening planovalgus deformity. This is due to the secondary effect of soft tissue contractures (lateral ligaments, peroneal tendons, calf muscles) "pulling" the foot into more valgus. Physiotherapy and insoles may help some patients. Depending on the flexibility of the hindfoot and the presence or otherwise of joint degeneration, joint-preserving corrective procedures or corrective joint fusions may be needed. Gastrocnemius, Achilles, and/or peroneal tendon releases may be required, to avoid equinus or further recurrence.
    Foot and ankle clinics 08/2014; 19(3). DOI:10.1016/j.fcl.2014.06.011