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International Journal of

Foot and AnkleISSN: 2643-3885

Early Online

 Open Access DOI:10.23937/2643-3885/1710091

A Prospective Study Evaluating Improved Quality of Life and Physical Function in Patients That Underwent Reconstructive Surgery for Charcot Neuroarthropathy Deformities

Jeffrey D Loveland, DPM, FACFAS, Bezawit Wodajo and John M Zanella, MS

Article Type: Original Article | Indexed Archive: Volume 9

Charcot neuroarthropathy can lead to severe deformity of the foot and ankle, which can adversely impact affected individuals. Surgical reconstruction may preserve the foot and ankle along with improved function, but it is uncertain if surgical success translates to patient perception of improved health-related quality of life. Patient-reported outcome measures are tools that collect information directly reported by patients regarding their perceptions of health, quality of life, or functional st...

 Open Access DOI:10.23937/2643-3885/1710090

Management of a Closed Pantalar Dislocation: A Rare Clinical Challenge

Abdullah Nouri, Abdullah Al Doukhi, Noura Alenezi, Tourki AlMutairi and Mohammad Eid

Article Type: Case Report | Indexed Archive: Volume 9

A 27-year-old male sustained a closed pantalar dislocation following a motor vehicle collision. The patient presented with a deformed right foot associated with severe pain. Despite several attempts at closed reduction, open reduction was deemed necessary. Postoperatively, the patient was immobilized and maintained a non-weight-bearing status for six weeks, followed by progressive weight-bearing and physiotherapy....

 Open Access DOI:10.23937/2643-3885/1710089

Evaluation of Outcomes Following Endovenous Laser Therapy (EVLT) for Chronic Venous Insufficiency (CVI) on a Daycare Basis in a Tertiary Healthcare Centre of Northern India: A Prospective Cohort Study

Swati Pathak, Aditya Sharma and Rajeshwar Yadav

Article Type: Original Article | Indexed Archive: Volume 8

Chronic venous insufficiency (CVI) often presents with the development of incompetent short or great saphenous veins (SSV or GSV), resulting in a condition known as varicose veins. The present study was conducted with the aim of evaluating the outcomes following endovenous laser therapy (EVLT) for CVI by discharging the patient on the same day following the procedure....

 Open Access DOI:10.23937/2643-3885/1710088

Septic Arthritis of the First MTP: A Case Report

Susana Donadeu Sánchez, MD, Laura Serrano Mateo, MD, Maria Gaudiosa Puerto, MD, PhD, Jose Luis Tomé, MD and Jose Enrique Galeote, MD

Article Type: Case Report | Indexed Archive: Volume 8

24-year-old male with an initial diagnosis of first metatarsophalangeal (MTP) arthritis, on imaging tests the only abnormal findings were a bipartite medial sesamoid versus medial sesamoid fracture. During follow-up, patient developed fistulization of the first MTP with a positive culture for methicillin-sensitive Staphylococcus aureus (MSSA) and was diagnosed with septic arthritis (SA) of the first MTP joint. He was treated with surgical debridement and targeted antibiotic therapy, res...

 Open Access DOI:10.23937/2643-3885/1710087

Outcomes and Complications Associated with Lateral Column Lengthening Using Porous Titanium Wedges for Flexible Flatfoot Deformity Correction: A Systematic Review

Zachary P Hill, DPM, Joseph R Brown, DPM, Ross T Groeschl, DPM, Alex Bischoff, DPM AACFAS, Alexa T Bykowski, DPM and Robert W Mendicino, DPM, FACFAS

Article Type: Systematic Review | Indexed Archive: Volume 8

Numerous graft materials have been utilized and described to achieve deformity correction in lateral column lengthening procedures (LCL) including autograft, allograft, xenograft, and porous titanium wedges (PTW). PTWs offer a potentially advantageous substitute for traditional grafts. Evidence regarding outcomes and complications of these grafts remains limited. This systematic review aims to describe functional outcomes and complications associated with LCL using PTWs. A standard methodology f...

 Open Access DOI:10.23937/2643-3885/1710086

Bipartite Medial Cuneiform: A Forgotten Source of Midfoot Pain – Case Report and Review of the Literature

Diogo Manuel Meireles Soares and João Filipe Ferreira Brandão Vide

Article Type: Case Report | Indexed Archive: Volume 7

The bipartite medial cuneiform (BMC) is a rare congenital variant in the Lisfranc joint. In the majority of the cases BMC is asymptomatic and diagnosed as an incidental imaging finding. Clinical awareness of this entity is relevant when evaluating a patient with midfoot pain following both acute trauma or in the setting of chronic and insidious midfoot complaints....

 Open Access DOI:10.23937/2643-3885/1710082

Three-Dimensional Patient-Specific Cut Guides for Correction of Charcot Midfoot Deformities

Amar R Gulati, DPM, Lance Johnson, DPM and Peter D Highlander, MS, DPM

Article Type: Technique Guide | Indexed Archive: Volume 7

Charcot arthropathy of the foot and ankle is a challenging pathology that can require intensive surgical reconstruction. Most often the pathology involves breakdown of the midfoot. Osteotomies of the midfoot to resect and correct the deformity can be unpredictable and time-consuming. With the advent of 3D printing, we propose a new technique utilizing custom cut-guides for midfoot osteotomies in Charcot reconstruction. This provides a reproducible, accurate and pre-planned direction for reconstr...

 Open Access DOI:10.23937/2643-3885/1710081

Angioleiomyoma: Challenging Diagnosis of an Ankle Tumor

Gargouri A, Moalla S, Laamarti D, Ghorbel I and Ennouri KH

Article Type: Case Report | Indexed Archive: Volume 7

Angioleiomyomas are benign soft-tissue tumors that are relatively rare and often occur in the extremities. This tumor has a predilection for middle-aged females. The true etiology is still largerly unkown. Clinical and radiological examinations are frequently nonspecific and ambiguous, as a result, they are rarely diagnosed preoperatively....

 Open Access DOI:10.23937/2643-3885/1710080

Charcot-Marie-Tooth Disease: Updates in Diagnosis and Treatment Guidelines Pertaining to the Lower Extremity and Case Study

Jonathan Furmanek, DPM, HTL, Amar Gulati, DPM, Anissa Hashemi Awwal, DPM, Fahd M Moeez, DPM, MBBS, Prakash Panchani, DPM, Caitlin Zarick, DPM, Eugene Batelli, DPM and Paul Carroll, DPM

Article Type: Literature Review, Surgical Tips, and Case Presentation | Indexed Archive: Volume 7

Diagnosis and treatment of Charcot-Marie-Tooth (CMT) can present as a challenging issue. Several published studies have demonstrated the complexity of diagnosis and treatment with an increasing role of genetics in diagnosis. The goal of this review is to contribute an updated and concise overview to the limited body of literature. This review elaborates on the published data with regard to discussing the presence of CMT disease and manifestation of various foot and lower extremity deformities in...

 Open Access DOI:10.23937/2643-3885/1710079

Spontaneous Posterior Migration of an Antegrade, Reamed Intramedullary Tibial Nail Following Locking Bolt Removal, a Delayed Presentation

Christopher Barton, Tom Flemming and Asif Khan

Article Type: Case Report | Indexed Archive: Volume 7

We report a rare complication following a common operation, of an intramedullary tibial nail migrating through the posterior cortex of the tibia to sit within the deep posterior compartment of the lower leg, presenting 10 years after index procedure. Follow-up radiographs one year post- operatively confirmed union and an intramedullary position of the nail. After locking bolt removal, due to prominence, the patient re-presented 10 years later with FHL irritation and radiographs confirmed the n...

 Open Access DOI:10.23937/2643-3885/1710078

A Novel Technique for Treatment of Peri-Implant Tibial Shaft Fracture with Pre-Existing Bimalleolar Ankle Fracture with a Combination of IlluminOss® Photodynamic Bone Stabilization System and Osteosynthesis

Saad Madi, Said Chotta and Johannes Zeichen

Article Type: Case Report | Indexed Archive: Volume 7

Surgical treatment of high-load fractures in patients with osteoporosis and compromised soft tissue is challenging and often results in unsatisfactory implant fixation. We describe a case of an 80-year-old female patient with severe osteoporosis and a pre-existing knee arthroplasty. Initially, she required an external fixator following a bimalleolar ankle fracture that was followed by a peri-implant spiral tibial shaft fracture with severely compromised soft tissue condition....

 Open Access DOI:10.23937/2643-3885/1710077

Efficacy of Platelet Rich Plasma in Athletes with Sesamoid Fractures: A Case Series

Zainab Shirazi, MD and Kristina Quirolgico, MD

Article Type: Case Series | Indexed Archive: Volume 7

Sesamoid fractures result in significant pain and poor biomechanics, which can ultimately hinder athletic performance and delay return to sport. Current literature describes the utility of platelet rich plasma (PRP) in treating various musculoskeletal injuries, but there is minimal data regarding its application in sesamoid pathology. Methods: We present three cases of sesamoid fracture in young adult athletes who were treated with PRP, administered via an ultrasound-guided dorsal injection appr...

 Open Access DOI:10.23937/2643-3885/1710076

Recurrent Synovial Chondromatosis managed with Subtalar Fusion

Ramanathan RM Palaniappan, Robert Cooper and Michael Hunter, MBBS, FRACS(Orth)

Article Type: Case Report | Indexed Archive: Volume 6

Synovial chondromatosis is a rare benign condition which involves synovial metaplasia and proliferation resulting in formation of multiple cartilaginous nodules in the synovium of the joints. Primary synovial chondromatosis is of unknown origin and presents between the age of 40 and 50 while secondary synovial chondromatosis is a result of degenerative change in the joint and presents later. Synovial chondromatosis usually presents in larger joints such as hips and knees. Presentation in smaller...

 Open Access DOI:10.23937/2643-3885/1710075

Delayed Reconstruction of Open Multiple Metatarsal Fractures Using Rib Bone Graft after Soft Tissue Coverage with Gracilis Free Flap: Case Report and Literature Commentary

Hussein Ibrahim Hussein, Mordicai Atinga, Njallale Baraza and Radovan Boca

Article Type: Case Report | Indexed Archive: Volume 6

Foot restoration after massive bone and soft tissue loss is a daunting task for surgeons. Existing literature has highlighted various methods of reconstruction. Masquelet technique, use of vascularised and non-vascularized fibular grafts, use of latissimus dorsi, serratus anterior in combination with rib grafts, iliac crest grafts have been described. There is, however, no report in the literature demonstrating use of rib bone grafts as a delayed reconstruction option....

 Open Access DOI:10.23937/2643-3885/1710073

Synovial Chondromatosis with Concerning Features on Histopathology

Ramanathan RM Palaniappan and Michael Hunter

Article Type: Case Report | Indexed Archive: Volume 6

Synovial chondromatosis (SC) is a rare benign condition which involves synovial metaplasia and proliferation resulting in formation of multiple cartilaginous nodules in the synovium of the joints. It most commonly involves large joints such as hips and knee and is less frequently present in smaller joints. While it is a benign condition, primary synovial chondromatosis (PSC) can undergo malignant transformation into synovial chondrosarcoma. Their clinical and radiological features are very simil...

 Open Access DOI:10.23937/2643-3885/1710072

Aggressive Necrotizing Fasciitis in a 12-Year-Old Girl of Unknown Etiology: Diagnosis, Therapy, and Prognosis

Saad Madi, MD, Bernd Hillrichs, MD and Jorg Gleißner, MD

Article Type: Case Report | Indexed Archive: Volume 6

Necrotizing fasciitis (NF) is a severe, life-threatening soft tissue infection characterized by rapidly spreading necrosis of fascia and subcutaneous tissue with fulminant course and rapid fatal evolution. We present the case of a 12-year-old girl who presented with edema and redness of the left feet without any traumatic event. 48-hours later, her symptoms worsened, and sepsis developed. After a diagnosis of NF was established, surgery was immediately performed followed by plastic reconstructio...

 Open Access DOI:10.23937/2643-3885/1710071

Patient-Reported Outcome Measure for Cartiva® Synthetic Cartilage Replacement in Advanced Degenerative Disease of the Hallux Metatarsophalangeal Joint - A Single Surgeon Series

Joshua D Rutnagur

Article Type: Case Series | Indexed Archive: Volume 6

Cartiva® Synthetic Cartilage Implant (SCI) was introduced in our department in 2016 as an alternative treatment for advanced degenerative disease of the hallux metatarsophalangeal joint requiring fusion but would rather prefer to maintain joint movement....

 Open Access DOI:10.23937/2643-3885/1710070

The Impact of the Plantar Calcaneal Cortex on Ankle Charcot Reconstruction

Alissa Mayer, Jonathan Furmanek, Kelly McKeon, Eshetu Tefera, Caitlin S Zarick, Paul J Kim, Christopher E Attinger, John S Steinberg, Jacob Wynes and Nicole K Cates

Article Type: Retrospective Case Series | Indexed Archive: Volume 6

The primary aim of this study is to evaluate preoperative risk factors and postoperative outcomes in patients that underwent Charcot neuroarthropathy realignment arthrodesis, specifically in those with a fractured plantar calcaneal cortex compared to those with intact plantar calcaneal cortex, at the time of reconstructive surgery....

 Open Access DOI:10.23937/2643-3885/1710068

Ainhum (Spontaenous Dactylolysis) in a 50-year-old Haitian Man: A Case Report

Steven Shader and Julio Ortiz

Article Type: Case Report | Indexed Archive: Volume 6

Ainhum is a rare idiopathic condition that occurs in those with African heritage usually affecting the 5th toe. We present a case report of 50 year old Haitian male presented with a painful 5th right toe with constricting band encircled the 5th toe at the base with loss of voluntary motion, a bulbus appearing distal toe, and external rotation of the nail plate. The pain and groove progressed over 6 months, starting as a crease appearing at the medial digitaltoplantar fold....

 Open Access DOI:10.23937/2643-3885/1710067

Functional Anatomic Support Taping (FAST): A Novel Method for Plantar Fascia Taping Using Kinesiology Tape

Levi Berry, DPM, Dustin Bruening, PhD, Keith Murdock, DPM, Luek Frame, BS, Stephen Facer, BS

Article Type: Review Article | Indexed Archive: Volume 6

Plantar fascia taping is a common conservative treatment method used to treat plantar fasciitis, or plantar heel pain. Clinical taping methods (e.g., Low-Dye and calcaneal) have been shown to be effective in reducing plantar heel pain, but their application is laborious and generally not self-applied. The growth of retail home-based kinesiology tape products has created an opportunity to improve the use of taping in the clinical and home settings. The purpose of this study was to evaluate the ef...

 Open Access DOI:10.23937/2643-3885/1710066

Mueller Weiss Syndrome: A Missed Cause of Mid Foot Pain

Saad Madi, MD and Harald Kuhn, MD

Article Type: Case Report | Indexed Archive: Volume 6

Mueller-Weiss syndrome, or spontaneous osteonecrosis of the tarsal navicular bone in adults, is an idiopathic foot condition that causes chronic mid- and hind-foot pain with progressive deformity of the midfoot in adults. In this report, we describe the radiographic and magnetic resonance imaging of a rare case of Mueller-Weiss syndrome associated with spontaneous osteonecrosis of tarsal navicular bone resembling a cystic lesion in a 62-year-old female. The Mueller-Weiss Syndrome (MWS), which wa...

 Open Access DOI:10.23937/2643-3885/1710065

Expedited Diagnosis and Surgical Repair of Isolated Acute Anterior Tibial Tendon Rupture: A Case Report

Shilpa Sharma DPM, Josh B Moosikasuwan MD and Jalukumar Patel, DPM, FACFAS

Article Type: Case Report | Indexed Archive: Volume 6

Isolated acute anterior tibial (AT) tendon rupture is rare and can be missed, resulting in significant functional deformity of the affected limb. Early surgical treatment can improve functional patient outcomes, familiarity with patient presentation, including a history of ankle pain and swelling after hyper-plantar flexion and signs of a palpable dell and weak dorsiflexory strength at the ankle, and prompt confirmation with MRI are crucial. Here we report a patient who had an isolated acute AT ...

Volume 6
Issue 1