Indications Chronic, irreparable tears (tears >50% of the cross sectional area) of either the peroneus longus, brevis, or both Indications Pitfalls One must make certain that the tendon cannot be repaired primarily after the débridement of the tendon and that…
Indications Typically presents with pain and swelling posterior to the distal fibula, or, at the level of the peroneal tubercle of the calcaneus. There is often a history of an ankle sprain or repeated ankle sprains that never fully resolved.…
Indications Persistent symptomatic lateral ankle laxity following a lateral ligament procedure Failure of a physical therapy program that emphasizes peroneal strength, proprioception, and range of motion Inability to return to sports, even with the use of a brace Indications Pitfalls…
Indications Symptomatic chronic lateral ankle instability with insufficient local tissue (ligament remnants, extensor retinaculum) Failed primary lateral ankle ligament repair Indications Pitfalls Heel varus, tibial varus misalignment, and muscular disbalance (e.g., peroneus brevis incompetence, posterior tibial contracture) must be addressed…
Indications Symptomatic chronic laxity of the lateral ankle with repeated sprains Limitation of activity Failure of an appropriate rehabilitation program Indications Pearls The anterior drawer test rotates the talus forward around the intact medial axis of the deltoid ligament complex…
Indications Chronic lateral ankle instability with complaints of pain or functional problems Indications Pitfalls Patients with os subfibulare, osteochondral lesion, or any intraarticular pathology should be treated at same time by arthroscopic or open procedure. Indications Controversies Patients with insufficient…
Indications Open reduction internal fixation is indicated for unstable neuropathic ankle fractures in patients with a suitable soft tissue envelope. Closed, neuropathic ankle fractures commonly present in three ways: Acutely after a traumatic incident, these are often missed since the…
Indications Maintenance of limb length and stability in patients requiring hindfoot arthrodesis with large bone loss Hindfoot fusion after failed total ankle arthroplasty (TAA) Hindfoot fusion for treatment of talar body osseous necrosis Hindfoot fusion for traumatic talectomy Indications Pitfalls…
Indications Failed total ankle arthroplasty (TAA) where the option for revision of the implants is contraindicated or not selected, including Aseptic loosening of any one or all of the components Pain without radiographic evidence of loosening Infection Examination/Imaging A careful…
Indications Failed arthroplasty of the ankle due to Primary loosening of component Late loosening of component Progressive nonmanageable malalignment Nonmanageable instability Avascular necrosis of underlying bone Deep infection Periprosthetic fracture Breakdown of soft tissues Chronic pain syndrome Others (e.g., metal…