Foot & ankle international
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The purpose of this study was to retrospectively evaluate patients who had open reduction and external fixation of displaced intra-articular calcaneal fractures with supercutaneous calcaneal locking plates used as external fixators. ⋯ Using a supercutaneous calcaneal locking plate to treat calcaneal fractures caused limited tissue irritation, a low rate of local skin infection, satisfactory reduction of the articular surface, stable fixation, and an overall reduced cost.
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There is both increased interest and awareness in diabetes-associated Charcot foot arthropathy. The number of affected patients will likely increase as the incidence of both diabetes and morbid obesity increases. Many experts now favor surgical correction of the deformity rather than longitudinal management with accommodative bracing. In patients with open wounds and exposed bone and/or chronic osteomyelitis, it is controversial whether resolution of the bony infection should be achieved before attempting surgical correction of the acquired deformity. ⋯ A plantigrade noninfected foot can be achieved in patients with infected diabetic Charcot foot deformity with single-stage radical resection of osteomyelitis, correction of the deformity, maintenance of the correction with static external fixation, and culture-specific antibiotic therapy.
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Open reduction and internal fixation (ORIF) of calcaneal fractures using an extended lateral approach results in soft tissue disruption and theoretically subtalar joint stiffness. A minimally invasive sinus tarsi approach for posterior facet exposure and percutaneous screw fixation of the calcaneal body has been implemented. This report details the reduction and stability of the internal fixation resulting from this approach. ⋯ Even complex calcaneal fractures can be sufficiently exposed by a minimally invasive sinus tarsi approach for anatomic reduction and stable fixation. Most patients had good or excellent functional results, which may have resulted from minimal soft tissue disruption.
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Type II accessory naviculars are frequently associated with planovalgus deformity. Operative treatment for patients recalcitrant to nonoperative treatment involves resection, with or without takedown, and reattachment of the tibialis posterior tendon as described by Kidner. This does not address the planovalgus deformity. The authors hypothesized that adding a subtalar arthroereisis to the Kidner procedure would lead to improvement of pain and function and correction of the deformity. ⋯ The modified Kidner procedure combined with a subtalar arthroereisis resulted in significant pain and functional improvement. The deformity correction obtained at surgery was maintained even if the arthroereisis plug was removed. The extra-articular plug did not lead to subtalar arthritis.
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Self-reported questionnaires are a common method used in identifying individuals with ankle instability. Recently a study illustrated the singular use of any of the most frequently utilized questionnaires failed to significantly predict ankle stability status. Therefore, the purpose of this article was to present information related to the development of the Identification of Functional Ankle Instability (IdFAI). ⋯ We suggest clinicians and researchers utilize the IdFAI to identify individuals with functional ankle instability since it is a short, simple, easy questionnaire to administer and take, and has been shown to have excellent accuracy.