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Journal Cover Foot & Ankle International
   [11 followers]  Follow    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
     ISSN (Print) 1071-1007
     Published by Sage Publications Homepage  [737 journals]   [SJR: 1.021]   [H-I: 62]
  • Outcomes After Total Ankle Replacement in Association With Ipsilateral
           Hindfoot Arthrodesis
    • Authors: Lewis, J. S; Adams, S. B, Queen, R. M, DeOrio, J. K, Nunley, J. A, Easley, M. E.
      Pages: 535 - 542
      Abstract: Background: Ipsilateral hindfoot arthrodesis in combination with total ankle replacement (TAR) may diminish functional outcome and prosthesis survivorship compared to isolated TAR. We compared the outcome of isolated TAR to outcomes of TAR with ipsilateral hindfoot arthrodesis. Methods: In a consecutive series of 404 primary TARs in 396 patients, 70 patients (17.3%) had a hindfoot fusion before, after, or at the time of TAR; the majority had either an isolated subtalar arthrodesis (n = 43, 62%) or triple arthrodesis (n = 15, 21%). The remaining 334 isolated TARs served as the control group. Mean patient follow-up was 3.2 years (range, 24-72 months). Results: The SF-36 total, AOFAS Hindfoot-Ankle pain subscale, Foot and Ankle Disability Index, and Short Musculoskeletal Function Assessment scores were significantly improved from preoperative measures, with no significant differences between the hindfoot arthrodesis and control groups. The AOFAS Hindfoot-Ankle total, function, and alignment scores were significantly improved for both groups, albeit the control group demonstrated significantly higher scores in all 3 scales. Furthermore, the control group demonstrated a significantly greater improvement in VAS pain score compared to the hindfoot arthrodesis group. Walking speed, sit-to-stand time, and 4-square step test time were significantly improved for both groups at each postoperative time point; however, the hindfoot arthrodesis group completed these tests significantly slower than the control group. There was no significant difference in terms of talar component subsidence between the fusion (2.6 mm) and control groups (2.0 mm). The failure rate in the hindfoot fusion group (10.0%) was significantly higher than that in the control group (2.4%; p < 0.05). Conclusion: To our knowledge, this study represents the first series evaluating the clinical outcome of TARs performed with and without hindfoot fusion using implants available in the United States. At follow-up of 3.2 years, TAR performed with ipsilateral hindfoot arthrodesis resulted in significant improvements in pain and functional outcome; in contrast to prior studies, however, overall outcome was inferior to that of isolated TAR. Level of Evidence: Level II, prospective comparative series.
      PubDate: 2014-06-02T17:12:39-07:00
      DOI: 10.1177/1071100714528495|hwp:master-id:spfai;1071100714528495
      Issue No: Vol. 35, No. 6 (2014)
       
  • The Effect of Syndesmosis Screw Removal on the Reduction of the Distal
           Tibiofibular Joint: A Prospective Radiographic Study
    • Authors: Song, D. J; Lanzi, J. T, Groth, A. T, Drake, M, Orchowski, J. R, Shaha, S. H, Lindell, K. K.
      Pages: 543 - 548
      Abstract: Background: Injury to the tibiofibular syndesmosis is frequent with rotational ankle injuries. Multiple studies have shown a high rate of syndesmotic malreduction with the placement of syndesmotic screws. There are no studies evaluating the reduction or malreduction of the syndesmosis after syndesmotic screw removal. The purpose of this study was to prospectively evaluate syndesmotic reduction with CT scans and to determine the effect of screw removal on the malreduced syndesmosis. Methods: This was an IRB-approved prospective radiographic study. Patients over 18 years of age treated at 1 institution between August 2008 and December 2011 with intraoperative evidence of syndesmotic disruption were enrolled. Postoperative CT scans were obtained of bilateral ankles within 2 weeks of operative fixation. Syndesmotic screws were removed after 3 months, and a second CT scan was then obtained 30 days after screw removal. Using axial CT images, syndesmotic reduction was evaluated compared to the contralateral uninjured ankle. Twenty-five patients were enrolled in this prospective study. The average age was 25.7 (range, 19 to 35), with 3 females and 22 males. Results: Nine patients (36%) had evidence of tibiofibular syndesmosis malreduction on their initial postoperative axial CT scans. In the postsyndesmosis screw removal CT scan, 8 of 9 or 89% of malreductions showed adequate reduction of the tibiofibular syndesmosis. There was a statistically significant reduction in syndesmotic malreductions (t = 3.333, P < .001) between the initial rate of malreduction after screw placement of 36% (9/25) and the rate of malreduction after all screws were removed of 4% (1/25). Conclusions: Despite a high rate of initial malreduction (36%) after syndesmosis screw placement, 89% of the malreduced syndesmoses spontaneously reduced after screw removal. Syndesmotic screw removal may be advantageous to achieve final anatomic reduction of the distal tibiofibular joint, and we recommend it for the malreduced syndesmosis. Level of Evidence: Level IV, prognostic case series.
      PubDate: 2014-06-02T17:12:39-07:00
      DOI: 10.1177/1071100714524552|hwp:master-id:spfai;1071100714524552
      Issue No: Vol. 35, No. 6 (2014)
       
  • Arthrodesis After Failed Total Ankle Replacement
    • Authors: Deleu, P.-A; Devos Bevernage, B, Maldague, P, Gombault, V, Leemrijse, T.
      Pages: 549 - 557
      Abstract: Background: The literature on salvage procedures for failed total ankle replacement (TAR) is sparse. We report a series of 17 patients who had a failed TAR converted to a tibiotalar or a tibiotalocalcaneal arthrodesis. Methods: Between 2003 and 2012, a total of 17 patients with a failed TAR underwent an arthrodesis. All patients were followed on a regular basis through chart review, clinical examination and radiological evaluation. The following variables were analyzed: pre- and postoperative Meary angle, cause of failure, method of fixation, type of graft, time to union, complications, and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) score. The average follow-up was 30.1 months. The average period from the original arthroplasty to the arthrodesis was 49.8 months. Results: Thirteen of the 17 ankles were considered radiographically healed after the first attempt in an average time of 3.7 months and 3 after repeat arthrodesis. Bone grafts were used in 16 patients. The median postoperative AOFAS score was 74.5. The mean Meary angle of the hindfoot was 5 degrees of valgus. Conclusion: Tibiotalar and tibiotalocalcaneal arthrodeses were effective salvage procedures for failed TAR. Massive cancellous allografts were a good alternative to compensate for the large bone defect after removal of the prosthesis and to preserve the leg length. Level of Evidence: Level IV, retrospective case series.
      PubDate: 2014-06-02T17:12:39-07:00
      DOI: 10.1177/1071100714536368|hwp:master-id:spfai;1071100714536368
      Issue No: Vol. 35, No. 6 (2014)
       
  • Resection of the Fifth Metatarsal Base in the Severe Rigid Cavovarus Foot
    • Authors: Shariff, R; Myerson, M. S, Palmanovich, E.
      Pages: 558 - 565
      Abstract: Background: Cavovarus deformity associated with neuromuscular imbalance is a challenging pathology. Most of these deformities lead to pressure symptoms at the lateral border of the foot. This leads to pain, callosity, and commonly fracture of the fifth metatarsal base. This study reports the outcome of a cohort of patients who underwent an adjunctive procedure of resection of the fifth metatarsal, either partial or complete, in conjunction with cavovarus foot reconstruction to offload the lateral border of the foot. Methods: This was a retrospective study looking at the clinical and radiographic outcome of patients with an underlying neuromuscular problem with a cavovarus foot who underwent a resection of the fifth metatarsal. This was used as an adjunctive procedure during reconstruction for lateral foot pressure overload symptoms. Case notes and radiographs were reviewed. The distance on weight-bearing radiographs from the inferior most part of the bony prominence on the lateral border of the foot to the floor was measured and compared between pre- and postoperatively. Eighteen patients met the inclusion criteria. Mean age was 55 years. Mean follow-up was 32 months. Results: Fourteen patients had a partial base of fifth metatarsal resection, and 4 had a complete fifth ray resection. Radiographic measurements showed a statistically significant improvement in the distance from the inferior most part of the bony prominence on the lateral border of the foot to the floor between pre- and postoperative radiographs. Sixteen patients reported a significant improvement in their symptoms, 2 had some persistent lateral overload symptoms. Conclusion: The technique described in this study has not been reported previously for this indication. We believe it is a good adjunctive procedure in cavovarus foot reconstruction for patients suffering from lateral pressure overload. We describe strict guidelines and indications for this procedure. Level of Evidence: Level IV, case series.
      PubDate: 2014-06-02T17:12:39-07:00
      DOI: 10.1177/1071100714531225|hwp:master-id:spfai;1071100714531225
      Issue No: Vol. 35, No. 6 (2014)
       
  • Low-Level Laser Therapy for the Treatment of Chronic Plantar Fasciitis: A
           Prospective Study
    • Authors: Jastifer, J. R; Catena, F, Doty, J. F, Stevens, F, Coughlin, M. J.
      Pages: 566 - 571
      Abstract: Background: Plantar fasciitis affects nearly 1 million people annually in the United States. Traditional nonoperative management is successful in about 90% of patients, usually within 10 months. Chronic plantar fasciitis develops in about 10% of patients and is a difficult clinical problem to treat. A newly emerging technology, low-level laser therapy (LLLT), has demonstrated promising results for the treatment of acute and chronic pain. Methods: Thirty patients were administered LLLT and completed 12 months of follow-up. Patients were treated twice a week for 3 weeks for a total of 6 treatments and were evaluated at baseline, 2 weeks post procedure, and 6 and 12 months post procedure. Patients completed the Visual Analog Scale (VAS) and Foot Function Index (FFI) at study follow-up periods. Results: Patients demonstrated a mean improvement in heel pain VAS from 67.8 out of 100 at baseline to 6.9 out of 100 at the 12-month follow-up period. Total FFI score improved from a mean of 106.2 at baseline to 32.3 at 12 months post procedure. Conclusion: Although further studies are warranted, this study shows that LLLT is a promising treatment of chronic plantar fasciitis. Level of Evidence: Level IV, case series.
      PubDate: 2014-06-02T17:12:39-07:00
      DOI: 10.1177/1071100714523275|hwp:master-id:spfai;1071100714523275
      Issue No: Vol. 35, No. 6 (2014)
       
  • Tibial Stress Fracture Secondary to Half-Pins in Circular Ring External
           Fixation for Charcot Foot
    • Authors: Jones, C. P; Youngblood, C. S. A, Waldrop, N, Davis, W. H, Pinzur, M. S.
      Pages: 572 - 577
      Abstract: Background: There is an increasing trend for surgical correction of the deformity associated with Charcot neuroarthropathy of the foot and ankle (Charcot foot) in order to allow ambulation with commercially available therapeutic footwear. The significant rate of surgical and medical morbidity associated with extensive conventional operative correction has led many surgeons to use limited surgical dissection and stabilization with circular ring external fixation. Methods: A retrospective chart review was performed on 254 patients at 2 academic medical centers who underwent surgical correction for diabetes-associated Charcot foot deformity with limited soft tissue dissection and stabilization accomplished with a statically applied circular external fixator. Tibial stress fractures developed in 10 of the patients. Results: Seven of the fractures developed in the 42 patients in whom tibial block fixation was accomplished with half-pins (16.7%), and 3 fractures developed in the 202 patients in whom tibial block fixation was accomplished with tensioned fine wires (1.5%). Three of the tibial stress fractures were successfully treated with extension of the circular frame above the level of the stress fracture. Four fractures were successfully treated with closed intramedullary nailing and 3 with weight-bearing total contact casts. Two tibial fractures occurred through pin sites (all half-pins) in 120 nonneuropathic patients who underwent application of circular ring external fixators during the same 6-year period. Conclusion: Tibial stress fracture is an unusual complication associated with the use of circular ring external fixation. This investigation highlights the significantly greater risk for the development of this complication in diabetic patients undergoing surgical correction for Charcot foot deformity when half-pins are used for tibial block stabilization, compared with tensioned fine wires. We now recommend the universal use of tensioned fine wires for tibial block fixation when circular ring fixation is performed in patients with Charcot foot arthropathy. Level of Evidence: Level IV, retrospective case series.
      PubDate: 2014-06-02T17:12:39-07:00
      DOI: 10.1177/1071100714531229|hwp:master-id:spfai;1071100714531229
      Issue No: Vol. 35, No. 6 (2014)
       
  • Factors Influencing Discharge Disposition After Ankle Arthrodesis
    • Authors: Menendez, M. E; Bot, A. G. J, Neuhaus, V, Ring, D, Johnson, A. H.
      Pages: 578 - 583
      Abstract: Background: Although functional and morbidity outcomes following ankle arthrodesis have been widely studied, patterns of health care resource utilization remain unclear. The purpose of this study was to identify preoperative and postoperative risk factors for nonroutine discharge following ankle arthrodesis. A secondary study aim was to determine risk factors associated with prolonged hospital stay. Methods: Using the National Health Discharge Survey (NHDS) database for the years 2001 through 2007, an estimated 40 941 patients having undergone ankle arthrodesis were identified and separated into those who were discharged to home (routine discharge) and those who were discharged to rehabilitation facilities (nonroutine discharge). Factors influencing discharge disposition and hospital length of stay were determined using multivariable binary logistic regression analysis. Results: Risk factors for nonroutine discharge were increasing age, male sex, diabetes mellitus, atrial fibrillation, more than 1 general or surgery-related complication, additional days of care, and the 2005 to 2007 time period. Risk factors associated with prolonged hospital stay were advanced age, female sex, diabetes mellitus, more than 1 general or surgery-related complication, and the 2001 to 2004 time period. Conclusion: Early identification of these factors might prove useful for better allocation of resources and implementation of effective strategies aimed at preventing longer hospitalizations and nonroutine discharges in selected patients at risk. Level of Evidence: Level II, prognostic study.
      PubDate: 2014-06-02T17:12:39-07:00
      DOI: 10.1177/1071100714528499|hwp:master-id:spfai;1071100714528499
      Issue No: Vol. 35, No. 6 (2014)
       
  • Modification of the Weil/Maceira Metatarsal Osteotomy for Coronal Plane
           Malalignment During Crossover Toe Correction: Case Series
    • Authors: Klinge, S. A; McClure, P, Fellars, T, DiGiovanni, C. W.
      Pages: 584 - 591
      Abstract: Background: Metatarsophalangeal joint (MPJ) instability, which often involves the second ray, may result in dorsal translation and coronal drift of the proximal phalanx, with subsequent crossover of the first and second toe. After traditionally described soft tissue and osteotomy procedures are used to treat this deformity, coronal plane malalignment may persist, but few additional surgical options have been described to address this problem. Methods: We present a retrospective series of 5 patients who underwent a supplemental technique to augment coronal plane MPJ realignment. All patients underwent preplanned concomitant procedures. Crossover angulation of the second MPJ, amount of coronal translation required, and overall first-second ray alignment were compared pre- and postoperatively. Results: Depending on the severity of refractory deformity after soft tissue release and decompressive metatarsal osteotomy, 1.5 to 4.5 mm of coronal plane metatarsal head translation was required to achieve 3 to 20 degrees of overall valgus correction at the MPJ and complete correction of the crossover toe deformity. All patients were satisfied and had good function at last follow-up, a mean of 10.2 months, although 3 patients exhibited some level of second MPJ stiffness. One patient ended up with a component of residual floating toe deformity that was considered more of an incomplete correction of dorsal MPJ subluxation rather than any technical complication of this translational osteotomy modification designed to primarily correct coronal plane malalignment. A second patient had asymptomatic angular malalignment through partial (coronal plane) malrotation of the metatarsal osteotomy before it had healed. Conclusions: We have found this technique modification to be a very effective and simple means of treating recalcitrant lesser MPJ coronal plane malalignment when traditional soft tissue and bony techniques fail to fully restore anatomic MPJ position. Level of Evidence: Level IV, retrospective case series.
      PubDate: 2014-06-02T17:12:39-07:00
      DOI: 10.1177/1071100714527745|hwp:master-id:spfai;1071100714527745
      Issue No: Vol. 35, No. 6 (2014)
       
  • Psychometric Comparison of the PROMIS Physical Function CAT With the FAAM
           and FFI for Measuring Patient-Reported Outcomes
    • Authors: Hung, M; Baumhauer, J. F, Brodsky, J. W, Cheng, C, Ellis, S. J, Franklin, J. D, Hon, S. D, Ishikawa, S. N, Latt, L. D, Phisitkul, P, Saltzman, C. L, SooHoo, N. F, Hunt, K. J, Orthopaedic Foot & Ankle Outcomes Research (OFAR) of the American Orthopaedic Foot & Ankle Society (AOFAS)
      Pages: 592 - 599
      Abstract: Background: Selecting optimal patient-reported outcome (PRO) instruments is critical to improving the quality of health care. The purpose of this study was to compare the reliability, responsiveness, and efficiency of three PRO measures: the Foot and Ankle Ability Measure–Activity of Daily Living subscale (FAAM_ADL), the Foot Function Index 5-point verbal rating scale (FFI-5pt), and the PROMIS Physical Function computerized adaptive test (PF CAT). Methods: Data were aggregated from 10 clinical sites in the AOFAS’s National Orthopaedic Foot and Ankle Research (OFAR) Network from 311 patients who underwent elective surgery for a disorder of the foot or ankle. Patients were administered the FAAM_ADL, FFI-5pt, and PF CAT at their preoperative visit and at 6 months after surgery. Reliabilities were evaluated using a Rasch model. Responsiveness was calculated using paired samples t test and efficiency was recorded as number of seconds to complete the instrument. Results: Similar reliabilities were found for the three instruments. Item reliabilities for FAAM_ADL, FFI-5pt, and PF CAT were all .99. Pearson reliabilities for FAAM_ADL, FFI-5pt, and PF CAT were .95, .93, and .96, respectively. On average, patients completed the FAAM_ADL in 179 seconds, the FFI-5pt in 194 seconds, and the PF CAT in 44 seconds, (P < .001). The PF CAT and FAAM_ADL showed significant improvement (P = .01 and P = .001, respectively) in patients’ physical function after treatment; the FFI-5pt did not show improvement. Conclusions: Overall, the PF CAT performed best in terms of reliability, responsiveness, and efficiency in this broad sample of foot and ankle patients. It can be a potential replacement for the conventional PRO measures, but further validation is needed in conjunction with the PROMIS Pain instruments. Level of Evidence: Level I, prospective comparative outcome study.
      PubDate: 2014-06-02T17:12:39-07:00
      DOI: 10.1177/1071100714528492|hwp:master-id:spfai;1071100714528492
      Issue No: Vol. 35, No. 6 (2014)
       
  • Appearance of Subchondral Bone in Computed Tomography Is Related to
           Cartilage Damage in Osteochondral Lesions of the Talar Dome
    • Authors: Nakasa, T; Adachi, N, Kato, T, Ochi, M.
      Pages: 600 - 606
      Abstract: Background: Osteochondral lesions of the talar dome (OLT) involve the articular cartilage and/or subchondral bone. The subchondral bone plate plays an important role in cartilage metabolism. We hypothesized that the findings of subchondral bone on CT image would be related to the cartilage damage of OLT. The purpose of this study was to evaluate the relationship between the arthroscopic and CT findings focused on subchondral bone. Methods: Thirty-one ankles diagnosed as OLT were analyzed. All patients underwent CT, MRI, and arthroscopic surgery. The CT findings for both the cystic and fragment lesions were classified into 3 types. The 3 types for the cystic lesion ankles were irregular shape, round shape with sclerotic wall, and irregular shape with opening to an articular cavity. The 3 types for the fragment lesion were no bone absorption, bed absorption without fragment absorption, and bed sclerosis and fragment absorption. The subchondral bone findings on CT were compared with International Cartilage Repair Society (ICRS) grades and arthroscopic grading. Results: All round and sclerotic cystic lesions revealed cartilaginous flap lesions with a nearly normal cartilage surface. An irregular shape with opening revealed an unstable lesion with severely damaged cartilage. As for fragment lesions, no absorption revealed a stable lesion with a nearly normal cartilage surface. Bed absorption revealed an unstable lesion with a nearly normal cartilage surface. Fragment absorption with bed sclerosis showed an unstable lesion with severely damaged cartilage. There was a significant difference between CT findings and ICRS grade or arthroscopic findings (both P < .01), while there was no significant difference with MRI grading. The diagnosis of cartilage status by CT was better than MRI. Conclusion: CT findings for OLT based on subchondral bone related to cartilage damage. This study showed that CT was a useful tool for evaluating cartilage damage in OLT. Level of Evidence: Level III, comparative case series.
      PubDate: 2014-06-02T17:12:40-07:00
      DOI: 10.1177/1071100714528493|hwp:master-id:spfai;1071100714528493
      Issue No: Vol. 35, No. 6 (2014)
       
  • Limits of Stability and Adaptation to Wearing Rocker Bottom Shoes
    • Authors: Vieira, E. R; Guerrero, G, Holt, D, Arreaza, M, Veroes, V, Brunt, D.
      Pages: 607 - 611
      Abstract: Background: Stability and balance are fundamental during static and dynamic activities. The effects of wearing rocker bottom sole (RBS) shoes on the limits of stability (LOS) and adaptation to wearing RBS shoes need to be investigated. The objectives of this study were to evaluate the LOS when wearing RBS shoes, and to evaluate if people improve their stability while wearing RBS shoes over time. Methods: Eleven female subjects with no lower extremity impairments participated in the study. The LOS were tested at baseline and weeks 3 and 6 using a Neurocom SMART EquiTest equipment. Center of pressure (CoP) was determined using force plates, and the center of gravity (CoG) position was estimated from the CoP measures and subjects’ anthropometry. Subjects performed a series of tasks that involved leaning in different directions so as to move the vertical projection of their CoG. End-point excursions of the CoG floor projection were calculated as a percentage of the distance between the starting position and the target. Considering the body as an inverted pendulum, we recorded the average angular velocity of the inverted pendulum during the movements and quantified directional control as a percentage of movement toward versus away from the target. Shoe types were compared using paired t tests, and sessions were compared using repeated measures ANOVA. Results: The angular velocities of the inverted pendulum (ie, CoG velocity) were not significantly different between shoe conditions in the front and back directions at baseline (4 ± 3 with RBS vs 5 ± 2 deg/sec with regular shoes, and 4 ± 1 vs 6 ± 4 deg/sec). Front directional control of the CoG was significantly worse with RBS shoes at weeks 3 and 6 (P < .015). Front end-point excursions were also lower with RBS shoes both at baseline and week 6 (P < .014). There were no significant changes over time. Conclusion: The findings indicate that the LOS were negatively affected by wearing RBS shoes and that people do not improve their stability while wearing these shoes even after a 6-week period of use. Clinical Relevance: This study shows that wearing RBS shoes increase instability and the instability remains even after wearing these shoes for six weeks.
      PubDate: 2014-06-02T17:12:40-07:00
      DOI: 10.1177/1071100714531227|hwp:master-id:spfai;1071100714531227
      Issue No: Vol. 35, No. 6 (2014)
       
  • Limited-Open Achilles Tendon Repair Using Locking Sutures Versus
           Nonlocking Sutures: An In Vitro Model
    • Authors: Demetracopoulos, C. A; Gilbert, S. L, Young, E, Baxter, J. R, Deland, J. T.
      Pages: 612 - 618
      Abstract: Background: Several limited-open Achilles tendon repair techniques that use locking or nonlocking sutures have been developed, but direct comparisons of in vitro mechanical properties have not yet been reported in the literature. It was our hypothesis that loads applied to the repaired Achilles tendon would be better resisted by limited-open techniques that use locking stitches compared with limited-open repairs that use nonlocking stitches. Methods: The Achilles tendons of 31 fresh-frozen cadaver lower limbs were incised 4 cm proximal to the calcaneal insertion. Tendons were then repaired using 1 of 2 limited-open Achilles tendon repair tools, one using 3 nonlocking sutures and the other using a combination of locking and nonlocking sutures. Repaired specimens were cycled to 1000 cycles from 20 to 100 N and from 20 to 190 N followed by a single load to failure test. Nonparametric analyses were performed to compare the number of cycles to gapping and total load to failure between the 2 repair techniques. Results: During cyclic loading, more cycles occurred prior to detection of 2-mm and 9.5-mm gaps in the locking suture construct compared with the nonlocking suture construct (P = .012 and P = .005, respectively). There was no difference in the number of cycles to a gap of 5 mm (P = .053). The locking suture construct also resisted a significantly greater load to failure compared with the nonlocking suture construct (P < .001; median 385.0 and 299.6 N, respectively). Conclusion: Limited-open repair techniques using locking sutures provided greater construct strength under both cyclic and ultimate loads compared with a repair technique that used only nonlocking sutures. Clinical Relevance: Limited-open Achilles tendon repairs using locking sutures are better able to resist forces simulating early accelerated rehabilitation than repairs using nonlocking sutures.
      PubDate: 2014-06-02T17:12:40-07:00
      DOI: 10.1177/1071100714524550|hwp:master-id:spfai;1071100714524550
      Issue No: Vol. 35, No. 6 (2014)
       
  • Allograft Dermal Matrix Interpositional Arthroplasty in the Treatment of
           Failed Revision Arthrodesis at the Talonavicular Joint
    • Authors: Kim, D. H; Berkowitz, M. J.
      Pages: 619 - 622
      PubDate: 2014-06-02T17:12:40-07:00
      DOI: 10.1177/1071100714528497|hwp:master-id:spfai;1071100714528497
      Issue No: Vol. 35, No. 6 (2014)
       
  • Traumatic Dystonia: An Important Orthopaedic Differential Diagnosis
    • Authors: Schaller, G; Tai, S, Valavanis, A, Korlipara, P, Rudge, B.
      Pages: 623 - 625
      PubDate: 2014-06-02T17:12:40-07:00
      DOI: 10.1177/1071100714528496|hwp:master-id:spfai;1071100714528496
      Issue No: Vol. 35, No. 6 (2014)
       
  • Open Tibial Pilon Fracture With Wound Botulism Exacerbated by
           Aminoglycoside Antibiotic Beads: Case Report
    • Authors: Tiedeken, N; Budacki, R, Shaffer, G, Pahys, J.
      Pages: 626 - 630
      PubDate: 2014-06-02T17:12:40-07:00
      DOI: 10.1177/1071100714524554|hwp:master-id:spfai;1071100714524554
      Issue No: Vol. 35, No. 6 (2014)
       
  • Technique Tip: Avoiding Wound Complications After a Large Opening Wedge
           Osteotomy of the Distal Tibia Using a Soft-Tissue Expander
    • Authors: Konkel, K. F; Hussussian, C. J.
      Pages: 631 - 635
      PubDate: 2014-06-02T17:12:40-07:00
      DOI: 10.1177/1071100714528498|hwp:master-id:spfai;1071100714528498
      Issue No: Vol. 35, No. 6 (2014)
       
  • Comment on "Results of Proximal Medial Gastrocnemius Release for Achilles
           Tendinopathy"
    • Authors: Barouk, L. S; Barouk, P.
      Pages: 636 - 637
      PubDate: 2014-06-02T17:12:40-07:00
      DOI: 10.1177/1071100714527746|hwp:resource-id:spfai;35/6/636
      Issue No: Vol. 35, No. 6 (2014)
       
  • Author Response
    • Authors: Gurdezi, S; Kohls-Gatzoulis, J, Solan, M.
      Pages: 638 - 638
      PubDate: 2014-06-02T17:12:40-07:00
      DOI: 10.1177/1071100714533298|hwp:resource-id:spfai;35/6/638
      Issue No: Vol. 35, No. 6 (2014)
       
  • Corrigendum
    • Pages: 639 - 639
      Abstract: Coughlin MJ, Jones CP, Viladot R, Golanó P, Grebing BR, Kennedy MJ, Shurnas PS, Alvarez F. Hallux valgus and first ray mobility: a cadaveric study. Foot Ankle Int. 2004;25(8):537-544. (Original doi: 10.1177/107110070402500805)
      PubDate: 2014-06-02T17:12:40-07:00
      DOI: 10.1177/1071100714539641|hwp:resource-id:spfai;35/6/639
      Issue No: Vol. 35, No. 6 (2014)
       
  • Education Calendar
    • Pages: 640 - 640
      PubDate: 2014-06-02T17:12:40-07:00
      DOI: 10.1177/1071100714535725|hwp:resource-id:spfai;35/6/640
      Issue No: Vol. 35, No. 6 (2014)
       
 
 
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