Mini-Open Achilles Tendon Repair Perspective 2
Spontaneous Achilles tendon ruptures are defined as a partial or complete loss of continuity of the distal tendinous portions of the gastrocnemius and soleus muscles with the consequent loss in…
Femoral Head Allograft for Large Talar Defects Using a Lateral Approach
Talar body avascular necrosis with collapse or infection (FIG 1A) is one indication for femoral head allograft. Failed total ankle arthroplasty with insufficient bone remaining for revision (FIG 1B) also…
Supramalleolar Osteotomy with External Fixation Perspective 2
Ankle arthrodesis remains the gold standard for ankle arthritis. Ankle arthrodesis is indicated for painful arthroses, instability, malalignment, and joint sepsis. Regardless of the method of arthrodesis, complications are not…
Percutaneous Achilles Tendon Repair Perspective 2
Rupture of the Achilles tendon is common. More than 20% of acute injuries are misdiagnosed, leading to chronic or neglected ruptures.7 ANATOMY The two heads of the gastrocnemius arise from…
Akin Osteotomy
The primary indication for an Akin osteotomy is hallux valgus interphalangeus or in cases in which residual hallux valgus causes pressure on the second toe on the load stimulation test….
Anterior Tibial Osteotomy for Osteochondral Lesions of the Talus
Osteochondral lesion of the talus (OLT) may cause significant pain and mechanical symptoms in the involved ankle. The talar articular surface is enclosed within the osseous structures of the ankle…
Closing Wedge Proximal Osteotomy
The primary indication for a proximal closing wedge osteotomy is a symptomatic hallux valgus deformity with a first intermetatarsal angle (IMA) of 14 degrees or greater. The first metatarsocuneiform (MC)…
Extending the Indications for the Distal Chevron Osteotomy
The distal chevron osteotomy has proven to be a reliable, reproducible method of bunion repair for mild to moderate deformity. By altering the location and displacement of the osteotomy, the…
Proximal Chevron Osteotomy with Plate Fixation
Correction of major bunion deformities through the proximal portion of the first metatarsal is widely recognized as the established method of reducing the angle between the first and second metatarsal.3–6…
Distal Chevron Osteotomy Perspective 2
The primary indication for a chevron osteotomy is symptomatic hallux valgus deformity with a moderate deformity with an intermetatarsal angle of less than 15 degrees. The first metatarsocuneiform joint should…
