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Foot and Ankle Surgery: Clinical Challenges and New Insights
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Foot and Ankle Surgery: Clinical Challenges and New Insights

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 15 September 2025 | Viewed by 2784

Special Issue Editor

Prof. Dr. Byung-Ki Cho

E-Mail Website
Guest Editor
Department of Orthopedic Surgery, Chungbuk National University Hospital, Chungcheongbuk-do, Cheongju, Republic of Korea
Interests: foot and ankle deformity correction and fractures; ankle instability; total ankle arthroplasty; cartilage transplantation

Special Issue Information

Dear Colleagues,

The incidence of foot and ankle disorders in the orthopedic field is quickly increasing, continuously requiring new treatment strategies. This Special Issue aims to provide a review of current concepts and new insights into the surgical treatment of hallux valgus deformities, chronic ankle instability, and severe ankle arthritis. Evidence-based understanding of these three common problems can significantly improve clinical outcomes and prognosis. Therefore, researchers in the field of foot and ankle surgery are encouraged to submit timely reviews to this Special Issue

Prof. Dr. Byung-Ki Cho
Guest Editor

Manuscript Submission Information

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Keywords

  • hallux valgus
  • minimally invasive correction
  • chronic ankle instability
  • arthroscopic Brostrom procedure
  • suture-tape augmentation
  • ankle arthritis
  • total ankle arthroplasty
  • ankle arthrodesis

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Published Papers (4 papers)

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Research

Jump to: Review, Other

12 pages, 2472 KiB  
Article
Sesamoid Bone Reduction in Hallux Valgus: Comparing Radiological Outcomes of Hallux Valgus Following Distal Chevron Osteotomy and Modified McBride Procedure
by Po-Han Su, Chung-Wei Lin, Cheng-Hung Chiang, Wei-Chih Wang, Chen-Wei Yeh, Hsien-Te Chen, Yi-Chin Fong and Chien-Chung Kuo
J. Clin. Med. 2024, 13(24), 7590; https://doi.org/10.3390/jcm13247590 - 13 Dec 2024
Viewed by 820
Abstract
Background: Hallux valgus is a common forefoot disorder with hundreds of proposed management techniques. Distal chevron osteotomy with a modified McBride procedure has been traditionally recommended for mild hallux valgus because of its simple and less invasive nature with fewer complications, faster [...] Read more.
Background: Hallux valgus is a common forefoot disorder with hundreds of proposed management techniques. Distal chevron osteotomy with a modified McBride procedure has been traditionally recommended for mild hallux valgus because of its simple and less invasive nature with fewer complications, faster recovery, and reliable outcomes. In recent years, the indications for this procedure have expanded to include hallux valgus with severe deformities. This study aims to compare the radiographic outcomes of the surgical treatment for moderate versus severe hallux valgus patients from the perspective of sesamoid bone reduction. Materials and Methods: A retrospective review of medical records identified 99 feet from 94 patients that were treated with distal chevron osteotomy with a modified McBride procedure. These feet were divided by the preoperative hallux valgus angle and intermetatarsal angle into the moderate and severe groups. Results: Postoperative radiographic parameters significantly improved in both groups after treatment, indicating adequate deformity correction. Improvement in the sesamoid position was better in the moderate group compared to that in the severe group. The recurrence rate in the severe group was higher than that in the moderate group without statistical significance. Conclusions: Based on the radiographic results of the postoperative position following sesamoid reduction, the distal chevron osteotomy with a modified McBride procedure is effective for treating moderate hallux valgus deformities. However, this treatment strategy may be associated with a higher recurrence rate in cases of severe hallux valgus deformity. A complete reduction in the sesamoids should be emphasized during the management of severe hallux valgus deformity. Full article
(This article belongs to the Special Issue Foot and Ankle Surgery: Clinical Challenges and New Insights)
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Review

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14 pages, 22692 KiB  
Review
Surgical Correction of Large Talar Tilt in Varus Ankle Osteoarthritis: Lessons from Clinical Experience and a Review of the Literature
by Jun Young Choi and Jin Soo Suh
J. Clin. Med. 2025, 14(8), 2781; https://doi.org/10.3390/jcm14082781 - 17 Apr 2025
Viewed by 288
Abstract
Numerous studies exist on medial opening wedge supramalleolar osteotomy (SMO), ever since its introduction by Takakura et al., as a joint-preserving surgical option for treating varus ankle osteoarthritis (OA). Although SMO can induce lateral translation of the talus—which is medially translated in varus [...] Read more.
Numerous studies exist on medial opening wedge supramalleolar osteotomy (SMO), ever since its introduction by Takakura et al., as a joint-preserving surgical option for treating varus ankle osteoarthritis (OA). Although SMO can induce lateral translation of the talus—which is medially translated in varus ankle OA—it has only minimal effects on the correction of the varus tilt of the talus. Particularly, SMO alone does not effectively neutralize the talar position. The primary reason for this limitation is that varus tilting of the talus is not merely a two-dimensional deformity in the coronal plane, but rather a three-dimensional deformity involving internal rotation and anterior subluxation. Therefore, this study aimed to explore the key considerations for achieving effective correction of varus talar tilt in joint-preserving surgery for treating degenerative varus ankle OA with large talar tilting. Further, we have discussed the relevant studies and included the lessons learned from our clinical experience, categorizing the key surgical considerations into preoperative, intraoperative, and postoperative phases. Full article
(This article belongs to the Special Issue Foot and Ankle Surgery: Clinical Challenges and New Insights)
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Other

Jump to: Research, Review

11 pages, 1398 KiB  
Technical Note
Anterior and Posterior Syndesmotic Augmentation Using Nonabsorbable Suture Tape for Acute Syndesmotic Instability: A Technical Note
by Si-Wook Lee, Sung-Joon Yoon, Ki-Jin Jung, Eui-Dong Yeo, Sung-Hun Won, Chang-Hwa Hong, Soon-Do Wang, Yong-Chan Cho, Jae-Young Ji, Je-Yeon Byeon, Dhong-Won Lee and Woo-Jong Kim
J. Clin. Med. 2025, 14(7), 2207; https://doi.org/10.3390/jcm14072207 - 24 Mar 2025
Viewed by 300
Abstract
Background: Syndesmotic instability presents a significant challenge in orthopedic surgery, with no universally accepted treatment approach. Traditional methods, such as trans-syndesmotic screw fixation, remain widely used but are associated with complications, including malreduction, hardware-related issues, and restricted physiological motion. Recent advancements in flexible [...] Read more.
Background: Syndesmotic instability presents a significant challenge in orthopedic surgery, with no universally accepted treatment approach. Traditional methods, such as trans-syndesmotic screw fixation, remain widely used but are associated with complications, including malreduction, hardware-related issues, and restricted physiological motion. Recent advancements in flexible dynamic fixation, particularly suture tape augmentation, offer promising alternatives by preserving native biomechanics and enabling early rehabilitation. Methods: This technical note details an anterior-to-posterior syndesmotic augmentation technique using suture tape to address unstable syndesmotic injuries involving both the anterior inferior tibiofibular ligament and posterior inferior tibiofibular ligament. The proposed technique aims to restore stability, reduce complications, and improve functional outcomes. Results: The technique eliminates the need for hardware removal, supports early weight-bearing, and minimizes postoperative limitations. Conclusions: Anterior-to-posterior syndesmotic augmentation with suture tape represents a viable alternative for syndesmotic instability. Further clinical and biomechanical studies are warranted to validate its long-term efficacy and applicability across diverse patient populations. Full article
(This article belongs to the Special Issue Foot and Ankle Surgery: Clinical Challenges and New Insights)
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11 pages, 13061 KiB  
Case Report
Are We Ready for Pseudotumors in Total Ankle Arthroplasty? A Case Report
by Federico Sgubbi, Antonio Mazzotti, Alberto Arceri, Simone Ottavio Zielli, Elena Artioli, Laura Langone, Marco Gambarotti and Cesare Faldini
J. Clin. Med. 2025, 14(2), 649; https://doi.org/10.3390/jcm14020649 - 20 Jan 2025
Viewed by 965
Abstract
Background: Pseudotumors are defined as exuberant non-neoplastic inflammatory masses. This condition can be associated with hip and knee arthroplasty but has not been reported in Total Ankle Arthroplasty (TAA). This paper reports a pseudotumor that formed following TAA, highlighting its clinical presentation, management, [...] Read more.
Background: Pseudotumors are defined as exuberant non-neoplastic inflammatory masses. This condition can be associated with hip and knee arthroplasty but has not been reported in Total Ankle Arthroplasty (TAA). This paper reports a pseudotumor that formed following TAA, highlighting its clinical presentation, management, and histopathology. Methods: A 55-year-old male with end-stage post-traumatic ankle osteoarthritis underwent TAA using a mobile-bearing prosthesis. The procedure was reported to be successful, with no immediate complications. Results: Three years postoperatively, following a period of symptom resolution, the patient presented with progressively worsening ankle pain, swelling, and limited weight-bearing ability. Imaging revealed indirect signs of a periarticular mass and loosening components. Revision surgery involved prosthesis explantation and mass excision for histological and microbiological analysis, followed by concomitant tibio-talo-calcaneal fusion with a retrograde nail. The histopathology identified a pseudotumor characterized by chronic inflammation, fibrous tissue, and necrotic debris, with no evidence of infection. The postoperative recovery was uneventful, with pain resolution and successful fusion confirmed at a one-year follow-up. Conclusions: In patients experiencing unexplained pain or symptoms following TAA, the possibility of a pseudotumor, although rare, should be considered. Prompt and comprehensive clinical and radiographic evaluation is crucial to raise suspicion and prevent this condition from being overlooked. Full article
(This article belongs to the Special Issue Foot and Ankle Surgery: Clinical Challenges and New Insights)
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