Ankle Arthritis: To Fuse Or Not To Fuse?

Jeffrey Bowman DPM MS | 6,987 reads | 0 comments | 01/23/2013

Given that our current political leaders cannot seem to agree on much, let us look at what has divided podiatry into two parties: the “Fusion” party and the “Replacement” party.

Today, a debate exists whether to fuse or replace an ankle joint. Both procedures are indicated for arthritis that occurs from normal joint degeneration, a traumatic event or inflammatory arthritis.

Pertinent Insights On The Evolution Of The Ankle Arthroscopy

Jeffrey Bowman DPM MS | 4,659 reads | 0 comments | 12/28/2012

Arthroscopy in the ankle began in the 1920s with limited visualization. Initially, practitioners used 4.0 mm scopes until Takagi developed a 2.7 mm scope and implemented distraction techniques.1 Today, a 2.5 mm scope, distraction techniques and irrigation systems improve the ease and efficacy of ankle joint arthroscopy. Indications for ankle arthroscopy include diagnostic evaluation, synovitis, capsulitis, tibial/talar exostosis, ankle arthritis or osteochondral defects/fragments.

A Closer Look At The Distal Tibial Osteotomy For Ankle Varus

Jeffrey E. McAlister, DPM, and Terrence M. Philbin, DO | 27,469 reads | 0 comments | 10/29/2012

These authors discuss the distal tibial osteotomy and present a case study of a 23-year-old female with concomitant ankle varus and post-traumatic ankle pain.

When A Venous Ulcer Leads To A Rigid Varus Ankle Deformity

Damien Dauphinée, DPM, FACFAS, FAENS, FACCWS, CWS-P | 7,139 reads | 0 comments | 02/28/2013

This author details the treatment of a patient’s rigid varus deformity, which caused calluses and wounds, and prevented her from wearing shoe gear.

Exploring New Advances In Digital Arthrodesis

By Gerard V. Yu, DPM, Andrew Vincent, DPM, and Wissam Khoury, DPM | 20,887 reads | 0 comments | 09/03/2003

Over the years, a multitude of techniques have been described and employed for digital arthrodesis, ranging from arthroplasty and arthrodesis to flexor tendon transfer and lesser digital implants. Each procedure has a place in surgical correction of digital deformities. Digital arthrodesis, in particular, provides permanent and reliable correction of deformities and is considered by the senior author to be a favored technique, especially when it comes to managing digital deformities of a biomechanical etiology.

Mastering Ankle Impingement Syndromes

By Shine John, DPM, Robert W. Mendicino, DPM, and Alan R. Catanzariti, DPM | 78,963 reads | 0 comments | 08/03/2007

Impingement syndromes can result in chronic ankle pain. Initially described as “athlete’s ankle” and “footballer’s ankle,” these syndromes have been associated with athletic activities such as soccer, running, volleyball, high jumping and ballet dancing.1-3 These syndromes can affect either the anterior or posterior aspect of the ankle joint and its causal pathway can be of soft tissue and/or osseous origin.

The new Smart Toe™ Intramedullary Memory Implant (MMI-USA, Inc.) reportedly obviates the need for K-wires and facilitates adequate correction for hammertoe arthrodesis.

Can A New Implant Lead To Easier Hammertoe Arthrodesis?

By Brian McCurdy, Senior Editor | 7,193 reads | 1 comments | 02/03/2008

Patients having hammertoe arthrodesis have had to undergo fixation with K-wires that can cause complications including pin tract infection. However, a new implant may obviate the need for K-wires and provide adequate correction. The Smart Toe™ Intramedullary Memory Implant was specifically developed for hammertoe arthrodesis and is composed of nitinol (Memometal® Alloy Ti-Ni), according to the manufacturer MMI-USA, Inc. Since the implant is one piece, no connection is required. There is no post-op implant exposure and no disruption of healthy joints.

New Surgical Screws May Lead To Improved Arthrodesis Results

By Aaron Becker, Special Projects Editor | 4,047 reads | 0 comments | 07/03/2007

The recent introduction of longer surgical screws may facilitate improved outcomes with lesser digital arthrodesis procedures. The new Cannulated Titanium Lag Screws stand out with a thinner and longer profile, making them “ideal for severe digital deformities,” according to the manufacturer OsteoMed. The 2.0 mm screw ranges between 6 to 42 mm in length and the 2.4 mm screw ranges between 6 to 50 mm in length. David J.

A Guide To The Triple Arthrodesis For Hindfoot Deformities

Kevin Dux, DPM, Sarah Edgar, DPM, and Peter Blume, DPM, FACFAS | 37,994 reads | 0 comments | 09/24/2012

The triple arthrodesis has evolved to become the gold standard for the correction of sometimes complex hindfoot deformities with long-term follow-up showing high satisfaction rates. Accordingly, these authors offer a closer look at the procedure, review key indications and provide pertinent pearls.

How To Perform An Isolated Subtalar Joint Arthrodesis

By Douglas K. Blacklidge, DPM | 49,584 reads | 0 comments | 06/03/2008

Isolated arthrodesis procedures for the hindfoot are an interesting and sometimes controversial topic for foot and ankle surgeons. Historically, when it came to most major rearfoot deformities and joint conditions, surgeons utilized the triple arthrodesis versus any isolated joint fusions of this complex. The thinking was that the subtalar, calcaneocuboid and talonavicular joints all function together to allow pronation and supination of the entire foot, so if one joint needed fusion, they all needed fusion.