Indications Fusions and complex fractures in the foot and ankle often require cancellous bone graft. Ample bone (≤30 cc) is available from the proximal tibia. Bone harvest from the proximal tibial is less painful then from the iliac crest. The…
Acknowledgments Andrew K. Sands would like to acknowledge the assistance of Edmund Choi, MD, with this chapter. Indications Equinus contracture/tight calf is typically an associated condition of a primary diagnosis of a bunion and may exacerbate the bunion problem. In…
Indications Symptomatic Achilles tendon disease (signal change on magnetic resonance imaging [MRI] within the tendon) or Achilles rupture in older individuals in whom end-to-end repair would lead to excessive tightness Treatment Options Achilles ruptures Nonoperative treatment can be done, but…
Indications Flaccid footdrop following traumatic injury to the common peroneal nerve or peroneal division of the sciatic nerve Spastic footdrop seen in cerebral palsy Other indications may include footdrop associated with poliomyelitis, cerebrovascular accident, Charcot-Marie-Tooth disease, or leprosy Indications Pitfalls…
Technique #1: Distal Fibular Osteotomy Through Fracture Site Indications This should be utilized for a fracture below the level of the syndesmosis, usually with a stable syndesmosis that can be preserved Fibular shortening Fibular malrotation Syndesmosis malreduction Indications Pitfalls Fibular…
Indications Patients with potential wound healing issues such as diabetes, soft tissue trauma, or older age Weber C fractures in younger patients to avoid extensive dissection Patients with medial and posterior malleolar fractures that are amenable to percutaneous reduction and…
Indications Haglund Syndrome refractory to conservative measures Bony prominence Posterior-superior-lateral Retrocalcaneal bursitis Insertional Achilles tendinopathy Partial rupture Often associated with bony prominence Recurrent tendinopathy after failed surgery Indications Pitfalls Local infection Peripheral vascular disease Indications Controversies Severe pes cavovarus with…
Indications Chronic medial ankle instability based on patient’s feeling of “giving-way,” especially toward medial, when walking on even ground, downhill, or downstairs Pain at the anteromedial aspect of the ankle, and sometimes pain in the lateral ankle, especially during dorsiflexion…
Indications Symptomatic chronic peroneal tendon subluxation-dislocation Indications Pitfalls Check for concomitant varus hindfoot alignment and lateral ankle instability that needs to be addressed during surgery. Treatment Options Nonsurgical treatment is an option for acute dislocation of the peroneal tendons, but…
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…