Management of Osteochondral Lesions of the Talus
Abstract With osteochondral lesions of the talus (OCLT), surgery is performed only in symptomatic cases because the lesions do not show any marked tendency for progression and typically do not…
Osteotomy of the Tibia and Fibula
Abstract Indications for the supramalleolar osteotomy are numerous and include correction of deformity, joint preservation, and as a staged procedure that leads up to other operations, including total ankle replacement…
Tarsal Coalition
Abstract Regardless of the type of tarsal coalition present, once the condition becomes symptomatic, it rarely resolves with nonoperative care. Traditional management has been with immobilization of the foot to…
Disorders of the Achilles Tendon
Abstract Disorders of the Achilles include acute rupture, chronic neglected rupture, insertional tendinosis, and noninsertional tendinosis. The goals of surgery are to restore the function of the Achilles while minimizing…
Rupture of the Anterior Tibial Tendon
Abstract Anterior tibial tendon (ATT) ruptures tend to occur in older persons as a consequence of degeneration and friction underneath the extensor retinaculum, although traumatic ruptures can occur and commonly…
Ankle Instability and Impingement Syndromes
Abstract In planning procedures for reconstruction of the lateral ankle ligament, considerations include the type of instability (whether in the ankle, the subtalar joint, or both), the presence of pain,…
Peroneal Tendon Injury and Repair
Abstract Management of disorders of the peroneal tendons is not difficult, yet the results of treatment are not as predictable as expected. With peroneal tendon injury, prompt operative intervention seems…
Correction of Flatfoot Deformity in the Adult
Abstract Nothing in foot and ankle surgery elicits controversy as much as the “appropriate” correction of the adult flexible flatfoot deformity (AFFD). To some extent, this controversy has a lot…
Correction of Flatfoot Deformity in the Child
Abstract Pes planus is a common problem, and although the condition is predominantly idiopathic, in children it may be associated with neuromuscular disease and other disorders including tarsal coalition and…
Reconstruction of Malunited Ankle Fractures
Abstract The premise for reconstruction of a malunited ankle fracture is joint preservation. Frequently, the joint may appear to be irreparable, with articular wear and erosive changes on the medial…
