Journal of the American Podiatric Medical Association

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by Lloyd S. Smith

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 102; https://doi.org/10.7547/0950102 - 1 Jan 2005

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The Association is currently planning the 2005 Annual Scientific Meeting, to be held in Orlando, Florida, in August […] Full article

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Arthroscopy-Assisted Retrograde Drilling of Osteochondral Lesions of the Talar Dome

by Scott C. Nelson and Darryl M. Haycock

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 91-96; https://doi.org/10.7547/0950091 - 1 Jan 2005

Cited by 13 | Viewed by 60

Abstract

Traumatic ankle conditions can lead to long-term sequelae if a pathologic process is misdiagnosed. The clinical presentation of an osteochondral lesion of the talar dome requires the clinician to have a high index of suspicion, and advanced imaging is often necessary to make [...] Read more.

Traumatic ankle conditions can lead to long-term sequelae if a pathologic process is misdiagnosed. The clinical presentation of an osteochondral lesion of the talar dome requires the clinician to have a high index of suspicion, and advanced imaging is often necessary to make the final diagnosis. Treatment should be initiated once the lesion is appropriately staged by radiologic or magnetic resonance imaging. We discuss the use of arthroscopy-assisted retrograde drilling of the medial talar dome that spares the articular cartilage within the talotibial articulation. (J Am Podiatr Med Assoc 95(1): 91–96, 2005) Full article

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Technical Considerations in Tarsometatarsal Joint Arthrodesis

by Alan R. Catanzariti and Robert W. Mendicino

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 85-90; https://doi.org/10.7547/0950085 - 1 Jan 2005

Cited by 6 | Viewed by 54

Abstract

Tarsometatarsal arthrodesis is indicated for degenerative joint disease after trauma. Deformity is often associated with post-traumatic arthropathy. Outcomes after surgical management are directly related to realignment. This article reviews the indications, preoperative evaluation, technical execution, and postoperative management of tarsometatarsal arthrodesis. Special emphasis [...] Read more.

Tarsometatarsal arthrodesis is indicated for degenerative joint disease after trauma. Deformity is often associated with post-traumatic arthropathy. Outcomes after surgical management are directly related to realignment. This article reviews the indications, preoperative evaluation, technical execution, and postoperative management of tarsometatarsal arthrodesis. Special emphasis is placed on realignment and restoration of normal foot architecture. (J Am Podiatr Med Assoc 95(1): 85–90, 2005) Full article

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Percutaneous Supramalleolar Osteotomy for Distal Tibial (Near Articular) Ankle Deformities

by Robert W. Mendicino, Alan R. Catanzariti and Christopher L. Reeves

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 72-84; https://doi.org/10.7547/0950072 - 1 Jan 2005

Cited by 28 | Viewed by 53

Abstract

Supramalleolar osteotomies are performed to realign the distal tibia and to improve foot and ankle function. This procedure requires a thorough preoperative and intraoperative understanding of limb-deformity parameters and of the center of rotation of angulation method of surgical planning. Radiographic, gait, and [...] Read more.

Supramalleolar osteotomies are performed to realign the distal tibia and to improve foot and ankle function. This procedure requires a thorough preoperative and intraoperative understanding of limb-deformity parameters and of the center of rotation of angulation method of surgical planning. Radiographic, gait, and clinical analyses along with intraoperative fluoroscopic images are paramount to deformity correction. This article describes the radiographic and clinical analyses and technical considerations in performing a focal dome supramalleolar osteotomy. (J Am Podiatr Med Assoc 95(1): 72–84, 2005) Full article

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Realignment Arthrodesis of the Rearfoot and Ankle. A Comprehensive Evaluation

by Robert W. Mendicino, Bradley M. Lamm, Alan R. Catanzariti, Trenton K. Statler and Dror Paley

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 60-71; https://doi.org/10.7547/0950060 - 1 Jan 2005

Cited by 17 | Viewed by 46

Abstract

Ankle and tibiotalocalcaneal arthrodeses are performed for the treatment of painful, arthritic, unstable, and deformed rearfoot and ankle joints. Surgical complications are not uncommon (~30%); some can be attributed to poor preoperative planning and inadequate intraoperative position. Several authors have attempted to define [...] Read more.

Ankle and tibiotalocalcaneal arthrodeses are performed for the treatment of painful, arthritic, unstable, and deformed rearfoot and ankle joints. Surgical complications are not uncommon (~30%); some can be attributed to poor preoperative planning and inadequate intraoperative position. Several authors have attempted to define the optimal position for ankle arthrodesis without objective multiplanar radiographic analysis and consistent reference points. This investigation explored the effects of ankle and tibiotalocalcaneal realignment arthrodeses on static lower-extremity position in 20 patients. The most common preoperative diagnosis was severe degenerative joint disease following ankle fractures and ankle instability. Seven tibiotalocalcaneal arthrodeses and 13 isolated ankle arthrodeses were performed (mean follow-up, 22 months). Average time to radiographic osseous union of the isolated ankle and tibiotalocalcaneal arthrodeses was 11 and 7 weeks, respectively. Medical complications occurred in 2 patients (10%). There were no statistically significant differences between preoperative and postoperative angular relationships. This study objectively quantifies multiplanar foot-to-leg realignment and defines the optimal clinical and radiographic positions for ankle and tibiotalocalcaneal realignment arthrodeses. (J Am Podiatr Med Assoc 95(1): 60–71, 2005) Full article

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Double Calcaneal Osteotomy. Realignment Considerations in Eight Patients

by Alan R. Catanzariti, Robert W. Mendicino, Glenda L. King and Brian Neerings

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 53-59; https://doi.org/10.7547/0950053 - 1 Jan 2005

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Abstract

Posterior calcaneal displacement and anterior calcaneal distraction osteotomies have been recommended for surgical management of flexible flatfoot deformity. We combined these procedures for surgical management of adolescent flatfoot and late stage II posterior tibial tendon dysfunction in the adult. Lateral column distraction has [...] Read more.

Posterior calcaneal displacement and anterior calcaneal distraction osteotomies have been recommended for surgical management of flexible flatfoot deformity. We combined these procedures for surgical management of adolescent flatfoot and late stage II posterior tibial tendon dysfunction in the adult. Lateral column distraction has been shown to reduce rearfoot valgus and forefoot abduction by stabilizing the midtarsal joint. Posterior calcaneal displacement osteotomy, which results in medial translation of the tuberosity, converts the posterior muscle group from an everter to an inverter. A supinatory moment, therefore, is created about the subtalar joint axis, which results in supination during the midstance phase of gait. These procedures may be considered when calcaneal valgus, forefoot abduction, and midtarsal joint instability are clinically significant. We also include rearfoot alignment radiographs, long leg calcaneal axial radiographs, and malleolar valgus indices to further evaluate alignment of the foot, ankle, and leg. Ideal realignment is achieved when the heel is vertical in resting calcaneal stance position, the forefoot is parallel to the rearfoot in the frontal plane, and the medial column is stabilized, with elimination of forefoot abduction. (J Am Podiatr Med Assoc 95(1): 53–59, 2005) Full article

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Pes Cavus

by Trenton K. Statler and Brandon L. Tullis

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 42-52; https://doi.org/10.7547/0950042 - 1 Jan 2005

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Pes cavus is a complex deformity with various components. The etiology is multifaceted, which can result in changes to the rearfoot, forefoot, or both areas. Proper patient evaluation is crucial to understanding the deformity and its management. Various soft-tissue and osseous procedures may [...] Read more.

Pes cavus is a complex deformity with various components. The etiology is multifaceted, which can result in changes to the rearfoot, forefoot, or both areas. Proper patient evaluation is crucial to understanding the deformity and its management. Various soft-tissue and osseous procedures may be used in the reconstruction of the symptomatic cavus foot deformity. This article discusses the clinical and radiographic findings of pes cavus, as well as the various etiologies of this challenging foot deformity and the surgical principles of its correction. (J Am Podiatr Med Assoc 95(1): 42–52, 2005) Full article

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Subtalar Joint Arthrodesis

by Alan R. Catanzariti, Robert W. Mendicino, Karl R. Saltrick, Roman C. Orsini, Michael F. Dombek and Bradley M. Lamm

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 34-41; https://doi.org/10.7547/0950034 - 1 Jan 2005

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Abstract

Forty patients (12 men and 28 women) treated with isolated subtalar joint arthrodesis were retrospectively reviewed. The average patient age was 50 years (range, 21–76 years). Preoperative diagnoses included posterior tibial tendon dysfunction, post-traumatic arthritis, nontraumatic arthritis, and subtalar joint middle facet coalition. [...] Read more.

Forty patients (12 men and 28 women) treated with isolated subtalar joint arthrodesis were retrospectively reviewed. The average patient age was 50 years (range, 21–76 years). Preoperative diagnoses included posterior tibial tendon dysfunction, post-traumatic arthritis, nontraumatic arthritis, and subtalar joint middle facet coalition. The average follow-up was 15 months (range, 12–74 months). Subjective postoperative questionnaire results were classified as satisfied (n = 32), satisfied but with reservations (n = 4), or dissatisfied (n = 4). Eighty-three percent of the patients (n = 33) stated that they would undergo the procedure again. Minor complications (those that resolved with nonoperative treatment) occurred in 55% of the patients. However, the major complication rate was only 12.5%. This study showed no statistical correlation between the preoperative diagnosis and the postoperative outcome. Our results also suggested that the prevalence of complications is slightly higher than in previous reports. Isolated subtalar joint arthrodesis is an effective treatment for pain and deformity of the rearfoot. (J Am Podiatr Med Assoc 95(1): 34–41, 2005) Full article

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Static Rearfoot Alignment. A Comparison of Clinical and Radiographic Measures

by Bradley M. Lamm, Robert W. Mendicino, Alan R. Catanzariti and Howard J. Hillstrom

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 26-33; https://doi.org/10.7547/0950026 - 1 Jan 2005

Cited by 69 | Viewed by 47

Abstract

Foot structure is typically evaluated using static clinical and radiographic measures. To date, the literature is devoid of a correlation between rearfoot frontal plane radiographic parameters and clinical measures of alignment. In a repeated-measures study comparing radiographic and clinical rearfoot alignment in 24 [...] Read more.

Foot structure is typically evaluated using static clinical and radiographic measures. To date, the literature is devoid of a correlation between rearfoot frontal plane radiographic parameters and clinical measures of alignment. In a repeated-measures study comparing radiographic and clinical rearfoot alignment in 24 healthy subjects, radiographic angular measurements were made from standard weightbearing anteroposterior, lateral, long leg calcaneal axial, and rearfoot alignment views. Clinical measurements were made using a jig and scanner to assess the malleolar valgus index and a goniometer to evaluate the resting and neutral calcaneal stance positions. There was a significant correlation between frontal plane radiographic angles (long leg calcaneal axial and rearfoot alignment views) (r = 0.814). Similarly, there was a significant correlation between clinical measures (resting calcaneal stance position and malleolar valgus index) (r = 0.714). A multivariate stepwise regression showed that resting calcaneal stance position can be accurately predicted from 3 of the 15 clinical and radiographic measurements collected: malleolar valgus index, rearfoot alignment view, and long leg calcaneal axial view (r = 0.829). In summary, a commonly used clinical measure of static rearfoot alignment, resting calcaneal stance position, was correlated closely with the malleolar valgus index and both frontal plane radiographic parameters. (J Am Podiatr Med Assoc 95(1): 26–33, 2005) Full article

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Gastrocnemius Soleus Recession. A Simpler, More Limited Approach

by Bradley M. Lamm, Dror Paley and John E. Herzenberg

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 18-25; https://doi.org/10.7547/0950018 - 1 Jan 2005

Cited by 65 | Viewed by 58

Abstract

Multiple surgical procedures have been described for the correction of equinus deformity. We present a review of the anatomy, biomechanics, and clinical assessment of equinus. In addition, we provide a detailed surgical technique for gastrocnemius soleus recession and introduce an anatomical guide for [...] Read more.

Multiple surgical procedures have been described for the correction of equinus deformity. We present a review of the anatomy, biomechanics, and clinical assessment of equinus. In addition, we provide a detailed surgical technique for gastrocnemius soleus recession and introduce an anatomical guide for surgical treatment. (J Am Podiatr Med Assoc 95(1): 18–25, 2005) Full article

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Realignment Considerations in the Triple Arthrodesis

by Alan R. Catanzariti, Robert W. Mendicino, Jeffrey M. Whitaker and Christopher L. Reeves

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 13-17; https://doi.org/10.7547/0950013 - 1 Jan 2005

Cited by 9 | Viewed by 61

Abstract

Triple arthrodesis is indicated for pain, deformity, and instability of the tritarsal complex. Although osseous consolidation is important to outcome, success depends primarily on appropriate realignment. A poorly positioned triple arthrodesis may result in continued pain and disability, gait disturbances, excessive stress in [...] Read more.

Triple arthrodesis is indicated for pain, deformity, and instability of the tritarsal complex. Although osseous consolidation is important to outcome, success depends primarily on appropriate realignment. A poorly positioned triple arthrodesis may result in continued pain and disability, gait disturbances, excessive stress in adjacent joints, and footwear problems. We present a protocol for intraoperative realignment of the triple arthrodesis guided by image intensification. This protocol for alignment evaluation was followed in nine patients who underwent triple arthrodesis for a variety of pathologies. (J Am Podiatr Med Assoc 95(1): 13–17, 2005) Full article

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A Systematic Approach to Evaluation of the Rearfoot, Ankle, and Leg in Reconstructive Surgery

by Robert W. Mendicino, Alan R. Catanzariti, Christopher L. Reeves and Glenda L. King

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 2-12; https://doi.org/10.7547/0950002 - 1 Jan 2005

Cited by 18 | Viewed by 66

Abstract

The current literature shows that proper alignment of the lower extremity allows for greater function throughout the gait cycle. Therefore, realignment should be one of the primary goals in the surgical management of lower-extremity deformities and pathology. Multiplanar radiographic angular relationships should be [...] Read more.

The current literature shows that proper alignment of the lower extremity allows for greater function throughout the gait cycle. Therefore, realignment should be one of the primary goals in the surgical management of lower-extremity deformities and pathology. Multiplanar radiographic angular relationships should be critically evaluated to appropriately identify the level and extent of the deformity before performing realignment procedures. This article describes a systematic approach to deformity evaluation through a comprehensive radiographic assessment of the rearfoot, ankle, and lower leg. (J Am Podiatr Med Assoc 95(1): 2–12, 2005) Full article

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INTRODUCTION

by Alan R. Catanzariti

J. Am. Podiatr. Med. Assoc. 2005, 95(1), 1; https://doi.org/10.7547/0950001 - 1 Jan 2005

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Abstract

This special issue of JAPMA is intended to introduce the reader to some new concepts and an open-minded approach regarding reconstructive surgery of the rearfoot, ankle, and lower leg [...] Full article

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J. Am. Podiatr. Med. Assoc., Volume 95, Issue 1 (01 2005) – 13 articles , Pages 1-102

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