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Surgical Pearls

By Eric M. Feit, DPM, FACFAS

Arthritis of the first metatarsophalanageal joint (MPJ), or hallux rigidus, is the most common arthritic condition in the foot and ankle.1 It typically involves progressive osteophyte formation and cartilage destruction resulting in joint pain,…

By H. John Visser, DPM, FACFAS and Joshua Wolfe, DPM, MHA

Lisfranc injuries occur in one in 55,000 people in the United States, comprising 0.2 percent of all adult fractures as well as 17 percent of pediatric injuries.1-4 These injuries are typically associated with high-energy trauma such as automotive…

By Brittany E. Mayer, DPM and Noman A. Siddiqui, DPM, MHA

Circular external fixation, also known as Ilizarov frames, has been widely utilized in musculoskeletal surgery since Ilizarov developed a novel frame construct incorporating circular rings with wire fixation.1 Evolving over the years, the…

By Troy J. Boffeli, DPM, FACFAS and Samantha A. Luer, DPM

Surgeons rely heavily on preoperative weightbearing (WB) X-rays when selecting the ideal procedure combination for reconstructive flatfoot surgery. A full preoperative weightbearing radiographic series typically involves three views of the foot…

By Michael Theodoulou, DPM, FACFAS

Posterior ankle arthroscopy is somewhat of a misnomer. It is initially an endoscopic approach to access the posterior ankle and subtalar joint complexes. Endoscopic techniques for posterior ankle pathology have come into increasing favor by many…

By Jonathan Hook, DPM, MHA, Frank Narcisi, DPM, and Curt Martini, DPM

Syndesmotic injury is common in patients who sustain both ankle sprains and ankle fractures, occurring approximately 18 percent and 20 percent of the time respectively.1 A thorough history and physical examination are prudent for diagnosing these…

By Ashim Wadehra, DPM, and Lawrence Fallat, DPM, FACFAS

Posterior tibial tendon dysfunction is a common condition that foot and ankle surgeons frequently encounter. It is a debilitating pathology, which results in degeneration of the posterior tibial tendon, hindfoot valgus and collapse of the…

By Patrick Burns, DPM, and Jason St. John, DPM

Hindfoot arthrodesis has grown into a powerful tool for foot and ankle surgeons with applications in multiple pathologies. Since Ryerson’s original description of hindfoot arthrodesis, much has changed, including a variety of incision approaches…

By Ben Potter, DPM, Curt Martini, DPM, and Jonathan Hook, MHA, DPM

As foot and ankle surgeons, our main goals for operative treatment of ankle fractures include minimizing complications, anatomic alignment and reducing deformities. Treating unstable distal fibular fractures through a minimally invasive technique…

By Troy J. Boffeli, DPM, FACFAS, and Heather H. Schaefbauer, DPM

The broad term “osteochondral lesion of the talus” describes an injury or abnormality of the talar articular cartilage and adjacent bone.1 We can describe lesions as a cartilage defect, bone cyst or subchondral bone cyst. Clinicians have used…

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