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Point-Counterpoint: Is It Time To Retire The Triple Arthrodesis?

John Grady, DPM, FASPS, FACFAOM, and Mallory Schweitzer, BS; Keith D. Cook, DPM, FACFAS, and Zachary Criswell, DPM | 10,846 reads | 0 comments | 03/23/2016
Yes.

Citing long-term outcomes in the literature and surgical experience, these authors say the triple arthrodesis is a ‘biomechanically unsound’ procedure for the most part that has been usurped by isolated and medial double arthrodesis procedures that achieve better outcomes.  

By John Grady, DPM, FASPS, FACFAOM, and Mallory Schweitzer, BS

Can Ankle Instability Contribute To Plantar Fasciitis?

Laura Bohman, DPM, and Bob Baravarian, DPM | 13,005 reads | 0 comments | 10/24/2016

Plantar fasciitis is a well-known pathology to most foot and ankle specialists.

A Closer Look At A Minimally Invasive Approach To Lateral Ankle Repair

James M. Cottom, DPM, FACFAS, and Britton S. Plemmons, DPM, AACFAS | 1,288 reads | 0 comments | 06/19/2017

A minimally invasive arthroscopic approach may significantly improve functional outcomes for patients with lateral ankle instability. In addition to offering insights from the emerging literature, these authors share step-by-step surgical pearls for the all-inside arthroscopic Broström repair.

Current Concepts In Pantalar Arthrodesis

Ryan J. Donegan, DPM, MS, and Peter A. Blume, DPM, FACFAS | 15,941 reads | 0 comments | 12/30/2014

Pantalar arthrodesis can be an effective limb salvage option for pathologies ranging from Charcot arthropathy to end-stage posterior tibial tendon dysfunction. Accordingly, these authors share essential pearls for the challenging procedure, explore fixation options and review the outcomes in the literature.

When Patients Present With Posterior Ankle Impingement

Jesse Yurgelon, DPM, and Meagan M. Jennings, DPM, FACFAS | 12,594 reads | 0 comments | 04/20/2016

Posterior ankle impingement can be a result of a number of entities including soft tissue impingement, a prominent bony process or unfused ossicles. Patients typically relate pain with forced or repeated plantarfleixon at the ankle, which can cause acute and chronic impingement/synovitis or bony contusions as well as restricted motion in the ankle or subtalar joint. This condition is frequent among ballet dancers, football players, soccer players and cross-country runners.

A Guide To Conservative Care For Ankle Sprains

Douglas Richie, DPM, FACFAS, FAAPSM | 7,861 reads | 0 comments | 06/21/2016

Recurrent sprains and long-term residual symptoms are fairly common in patients who suffer ankle sprains. With this in mind, this author provides a comprehensive review of the literature and a practical guide to conservative treatment at various stages for lateral ankle sprains.

How To Evaluate Acute Ankle Sprains At The Initial Presentation

Doug Richie Jr. DPM FACFAS | 1,836 reads | 0 comments | 06/22/2016

What are the challenges on day one when evaluating the acute ankle sprain?

When Is A Fibula Rod Procedure Indicated For Ankle Fractures?

Kevin Palmer, DPM | 5,785 reads | 0 comments | 05/31/2016

Why You Should Avoid Ankle Plantarflexion When Casting Functional AFOs

Larry Huppin DPM | 1,508 reads | 0 comments | 08/23/2016

Proper casting position is critical when you are prescribing a functional ankle-foot orthotic (AFO). Recently, I have seen a number of functional AFO casts with excessive plantarflexion. These casts are unusable and have to be redone. This, of course, is inconvenient for you and your patient. 

For best function and comfort, place the hinges of a functional AFO so they are directly over the distal tip of each malleolus. This ensures the brace moves naturally with the ankle joint and dramatically reduces the possibility that a patient will experience malleolar irritation.

Performing A Revisional Subtalar Joint Arthrodesis Through A Modified Gallie Approach

H.J. Visser, DPM, FACFAS, Khawar Malik, DPM, Jesse Wolfe, BS, and Joshua Wolfe, BS | 5,291 reads | 0 comments | 10/30/2015

These authors present an alternative approach to a revisional subtalar joint arthrodesis in a 50-year-old patient with several comorbidities and previous surgical complications.