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Clinical Perspectives on Foot and Ankle Surgery
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Clinical Perspectives on Foot and Ankle Surgery

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

Deadline for manuscript submissions: 25 September 2025 | Viewed by 3376

Special Issue Editor

Dr. Kenichiro Nakajima

E-Mail Website
Guest Editor
Center for Foot and Ankle Surgery, Department of Orthopedic Surgery, Yashio Central General Hospital, 845 Minamikawasaki, Yashio-shi 340-0814, Saitama, Japan
Interests: hallux valgus; hallux rigidus; insertional achilles tendinopathy; plantar fasciitis; symptomatic accessory navicular; metatarsophalangeal arthroscopy

Special Issue Information

Dear Colleagues,

We are pleased to announce a Special Issue titled “Clinical Perspectives on Foot and Ankle Surgery”, which aims to compile the latest advancements in surgical techniques within this field.

Foot and ankle surgery is still evolving. Many procedures that were once performed through open surgery are now being conducted using minimally invasive techniques such as arthroscopy, endoscopy, fluoroscopy, and ultrasound. Additionally, numerous companies are introducing innovative devices for foot and ankle surgery.

We invite authors to contribute original articles and reviews on topics including, but not limited to, the following:

  • Minimally invasive surgery using arthroscopy, endoscopy, fluoroscopy, ultrasound, etc.
  • Hallux valgus, hammer toe, metatarsalgia, hallux rigidus, hallux sesamoid disorders, symptomatic accessory navicular, plantar fasciitis, flatfoot, insertional Achilles tendinopathy, and osteoarthritis of the ankle.

Dr. Kenichiro Nakajima
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • foot and ankle
  • minimally invasive surgery
  • surgical techniques
  • new technologies
  • diagnosis
  • clinical assessment

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (3 papers)

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Research

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10 pages, 203 KiB  
Article
The Impact of Fibular Fixation Method on Pilon Fracture Healing
by Anthony Perugini, Scott Hyland, James Iandoli, Zachary Hill, John Peabody, Daniel DeGenova, Mallory Faherty and Benjamin Taylor
J. Clin. Med. 2025, 14(2), 358; https://doi.org/10.3390/jcm14020358 - 9 Jan 2025
Viewed by 741
Abstract
Background: Pilon fractures are associated with high-energy injuries, and there is presently much debate as to optimal fixation strategies and timing of intervention. There is little evidence comparing the type of fibular fixation during pilon fracture fixation. The purpose of this study was [...] Read more.
Background: Pilon fractures are associated with high-energy injuries, and there is presently much debate as to optimal fixation strategies and timing of intervention. There is little evidence comparing the type of fibular fixation during pilon fracture fixation. The purpose of this study was to compare fibular fixation methods in complex pilon injuries as it relates to pilon union rates and development of post-traumatic arthritis. Methods: This was a retrospective review from an urban Level 1 trauma center from January 2009 to May 2019, including patients age ≥ 18 who sustained a pilon fracture with an associated fibula fracture. Patients were allocated into one of three groups based on fibular fracture treated with plating, intramedullary device, or no fixation. Radiographic analysis was performed postoperatively and at final follow up to evaluate for tibial or fibular nonunion, malunion, talocrural angle, and ankle Kellgren–Lawrence grade. Results: Of the 107 patients in this study, 42 underwent surgical fixation of their fibular fracture. There were no differences with respect to tibial or fibular union rates amongst the three groups. Furthermore, there were no differences in the presence of radiographic ankle arthritis at final follow up. However, Kellgren–Lawrence arthritis grading did appear to be a more severe grade in patients who did not undergo fibular fixation (p = 0.001). Conclusions: Fibular intramedullary fixation does not appear to influence tibial or fibular nonunion rates as compared to plating in complex pilon injuries. Full article
(This article belongs to the Special Issue Clinical Perspectives on Foot and Ankle Surgery)

Review

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13 pages, 2256 KiB  
Review
Joint-Preserving Surgeries for Hallux Rigidus Based on Etiology: A Review and Commentary
by Kenichiro Nakajima
J. Clin. Med. 2025, 14(5), 1595; https://doi.org/10.3390/jcm14051595 - 26 Feb 2025
Cited by 1 | Viewed by 645
Abstract
In 1927, Cochrane noted that elastic resistance to dorsiflexion of the hallux was retained after the cheilectomy or dorsiflexion osteotomy of the metatarsal head and speculated that the shortening and tightness of the soft tissues below the first metatarsophalangeal joint would be the [...] Read more.
In 1927, Cochrane noted that elastic resistance to dorsiflexion of the hallux was retained after the cheilectomy or dorsiflexion osteotomy of the metatarsal head and speculated that the shortening and tightness of the soft tissues below the first metatarsophalangeal joint would be the etiology of hallux rigidus. He devised a novel surgery in which the plantar tissues were divided using a plantar approach and reported good results in 12 patients with the disappearance of elastic resistance during dorsiflexion and with no recurrence. Although he identified the etiology of hallux rigidus and developed a revolutionary surgery that directly addressed the etiology, this approach has not yet been seen in current surgeries. Therefore, we hypothesized that current surgeries for hallux rigidus lack rationality regarding etiology and aimed to critically review joint-preserving surgeries based on etiology. First, we summarized the literature on proposed causes and explained how the condition progresses from shortened, tightened plantar soft tissues. We then reviewed joint-preserving surgeries in terms of etiology and treatment efficacy and finally mentioned the arthroscopic Cochrane procedure as a promising option. Full article
(This article belongs to the Special Issue Clinical Perspectives on Foot and Ankle Surgery)
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Other

Jump to: Research, Review

16 pages, 535 KiB  
Systematic Review
Treatment Options of Prosthetic Joint Infections Following Total Ankle Arthroplasty: A Systematic Review
by Giacomo Capece, Emidio Di Gialleonardo, Chiara Comisi, Guido Bocchino, Virginia Cinelli, Antonio Mascio, Camillo Fulchignoni, Tommaso Greco, Giulio Maccauro and Carlo Perisano
J. Clin. Med. 2025, 14(3), 718; https://doi.org/10.3390/jcm14030718 - 23 Jan 2025
Viewed by 1227
Abstract
Background: This comprehensive systematic review aims to explore and discuss existing treatment modalities for infections in total ankle arthroplasty (TAA), providing insights that may contribute to the establishment of a “standard of care” for these challenging cases. The study analyses the intricate [...] Read more.
Background: This comprehensive systematic review aims to explore and discuss existing treatment modalities for infections in total ankle arthroplasty (TAA), providing insights that may contribute to the establishment of a “standard of care” for these challenging cases. The study analyses the intricate landscape of infected TAA, addressing gaps in the current literature and emphasizing the need to refine treatment strategies. With the reported incidence of periprosthetic joint infection after TAA surpassing rates observed in total hip and knee replacements, the research navigates through various treatment modalities, underscoring the lack of a universally accepted standard of care. Methods: In this systematic review, following PRISMA guidelines, PubMed, Scopus, and Google Scholar, we identified 15 papers addressing the management strategies for infected TAA (162 infected ankle arthroplasty cases).These databases were chosen for their extensive coverage, strong relevance to the research topic, and ease of access, ensuring a thorough and focused retrieval of pertinent literature on the treatment of infected ankle prostheses. The review involved the identification and evaluation of articles providing insights into complications, treatment outcomes, and risk factors. Extracted data were summarized and reported. A descriptive analysis was performed, and when feasible, a statistical analysis was conducted. Results: Treatment modalities included irrigation and debridement (48.8%), revision total ankle arthroplasty (36.3%), primary arthrodesis (7.9%), spacer arthroplasty (4.5%), and primary amputation (3.9%). Complication rates varied, with 46.5% for irrigation and debridement, 20% for two-stage revision, 7.14% for primary arthrodesis, and 25% for spacer arthroplasty. Conclusions: The rising prevalence of TAA underscores the need for a definitive treatment protocol due to severe complications. This review emphasizes careful patient selection and accurate diagnosis. Irrigation and debridement are effective for acute infections, while two-stage revision is a valid alternative for chronic infections. High-quality randomized controlled trials are important for establishing an evidence-based treatment protocol. Full article
(This article belongs to the Special Issue Clinical Perspectives on Foot and Ankle Surgery)
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