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…
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 Ankle arthrodesis Symptomatic end-stage ankle arthritis (posttraumatic, inflammatory, primary) Failed nonoperative management External fixation History of sepsis/osteomyelitis at the arthrodesis site ( Fig. 55.1A–B ) Compromised soft tissue envelope Inadequate bone stock to support internal fixation at the arthrodesis…
Indications Nonoperative management is indicated for nondisplaced calcaneal fractures or extraarticular calcaneal fractures with near-physiologic hindfoot alignment (computed tomography [CT] confirmation is recommended). Operative treatment of calcaneus fractures is indicated for displaced intraarticular and open calcaneal fractures. Indications Pitfalls When…
Indications Patient must first fail nonoperative measures for a minimum of at least 3–6 months. Stage I includes tenosynovitis without deformity that has been refractory to conservative treatment. Stages II–IV includes painful deformity with medial and/or lateral foot pain. Lateral…
Indications Fracture in zone II or III of the proximal fifth metatarsal (5MT; Fig. 24.1 ) Acute fracture in an athlete Delayed union Indications Pitfalls Varus hindfoot alignment maintaining a continued risk to 5MT overload. Treatment Options Nonoperative treatment with…
Indications Relatively short metatarsal (brachymetatarsia; Fig. 20.1 ) Overload/transfer metatarsalgia to an adjacent metatarsal head Short first metatarsal (1MT) following corrective surgery for hallux valgus Indications Pitfalls Contraindicated for a dorsiflexion malunion of the 1MT, unless an adjunctive procedure can…
Indications Wide forefoot with symptomatic fifth metatarsal (5MT) head and medial deviation of fifth toe Failure of nonoperative treatment (shoe modifications) Weight-bearing anteroposterior (AP) foot radiograph demonstrating a widened fourth-fifth intermetatarsal angle (4/5 IMA) Examination/Imaging Wide forefoot Symptomatic 5MT head…
Indications Symptomatic moderate to severe hallux valgus (first/second intermetatarsal angle [1/2 IMA] >15°) failing nonoperative treatment Indications Pitfalls Contraindications to surgical correction of hallux valgus deformity: peripheral vascular disease and peripheral neuropathy Contraindication to surgical correction of hallux valgus with…