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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  [738 journals]   [SJR: 1.021]   [H-I: 62]
  • Endoscopic Gastrocnemius Recession for the Treatment of Isolated
           Gastrocnemius Contracture: A Prospective Study on 320 Consecutive Patients
           
    • Authors: Phisitkul, P; Rungprai, C, Femino, J. E, Arunakul, M, Amendola, A.
      Pages: 747 - 756
      Abstract: Background: Endoscopic gastrocnemius recession has been proposed as a minimally invasive technique for the treatment of isolated gastrocnemius contracture. We report on the safety and efficacy of endoscopic gastrocnemius recession, as an isolated procedure or combined with other concomitant procedures in terms of improvement in ankle dorsiflexion, functional outcome, and postoperative morbidities. Methods: The data were prospectively collected in this case series. Endoscopic gastrocnemius recession was performed by a single surgeon in 320 consecutive patients (344 feet) who were diagnosed with isolated gastrocnemius contracture and failed nonoperative treatments between March 2009 and December 2012. There were 180 women and 140 men with mean age, 47.1 ± 15.7 years. The minimum follow-up was 1 year (mean, 18 months; range, 12 to 53 months). Pre- and postoperative ankle dorsiflexion, pain (Visual Analog Scale [VAS]), SF-36, and Foot Function Index (FFI) were obtained and compared using paired sample t test and Wilcoxon signed-rank test. Results: The mean ankle dorsiflexion significantly improved from –0.8 ± 5.4 degrees preoperatively to 11.0 ± 6.6 degrees at average of 13 months postoperatively (n = 294) (P < .001). Complete preoperative and 1-year postoperative pain (VAS) (n = 274) and functional outcome scores (n = 185) were collected when possible. The mean pain (VAS) decreased from 7/10 to 3/10 postoperatively (all P < .01). The mean SF-36 including physical component summary score (PCS) and mental component summary score (MCS) increased from 34 and 44 to 45 and 51, respectively (P < .01 for both PCS and MCS). The mean FFI improved from 63 to 42 for pain, 63 to 43 for disability, 68 to 44 for activity limitation, and 61 to 41 for total score postoperatively (all P < .01). Postoperative morbidity included weakness of ankle plantarflexion (N = 11/320; 3.1% respectively) and sural nerve dysesthesia (N = 10/320; 3.4%). Wound complications or Achilles tendon rupture did not occur. There was no difference in the average improvement in ankle dorsiflexion, outcome scores, and rate of complications between the isolated and combined procedures. Conclusion: Endoscopic gastrocnemius recession demonstrated promising results in the treatment of isolated gastrocnemius contracture. Ankle dorsiflexion was significantly improved with minimal morbidity. The procedure was found effective in improving functional outcomes and relieving pain as a sole operative treatment and as a part of combined procedures in our patients. Level of Evidence: Level IV, case series.
      PubDate: 2014-07-30T16:05:33-07:00
      DOI: 10.1177/1071100714534215|hwp:master-id:spfai;1071100714534215
      Issue No: Vol. 35, No. 8 (2014)
       
  • Sensory Nerve Dysfunction and Hallux Valgus Correction: A Prospective
           Study
    • Authors: Jastifer, J. R; Coughlin, M. J, Doty, J. F, Stevens, F. R, Hirose, C, Kemp, T. J.
      Pages: 757 - 763
      Abstract: Background: Sensory nerve dysfunction in patients with hallux valgus has been described as both a symptom of the deformity and a complication of the treatment. The purpose of this study was to quantify nerve dysfunction in hallux valgus patients and to prospectively evaluate whether the trauma of surgery or the correction of the deformity had any effect on the sensory nerve function. Methods: Fifty-seven consecutive feet undergoing operative correction for hallux valgus were prospectively enrolled. Preoperative and 3-, 6-, and 24-month postoperative clinical, radiographic, and detailed sensory examinations were completed. For the sensory examination, a Semmes-Weinstein 5.07 monofilament was used to establish, if present, a geometric area of sensory deficit about the hallux. This area was traced onto calibrated graphing paper and processed with imaging software. A total of 48/57 (84%) went on to complete 24 months of follow-up. Results: Preoperative sensory area deficit improved by a mean of 529 mm2 at 24-month follow-up. The mean preoperative sensory deficit area was 688 mm2 (SD 681 mm2, range: 0 to 2885 mm2) and 24-month postoperative sensory deficit area was 159 mm2 (SD 329 mm2, range: 0 to 1463 mm2). No clinically significant correlation existed between deficit and clinical outcome measures. Conclusions: This study showed that preoperative sensory deficits exist, and can improve up to 24 months after operative correction of the hallux valgus deformity. This supports the concept that sensory deficit in hallux valgus is at least partially caused by a reversible injury to the sensory nerves, not necessarily a complication of surgery. Level of Evidence: Level IV, case series.
      PubDate: 2014-07-30T16:05:33-07:00
      DOI: 10.1177/1071100714534216|hwp:master-id:spfai;1071100714534216
      Issue No: Vol. 35, No. 8 (2014)
       
  • Outcomes Following Microfracture in Grade 3 and 4 Articular Cartilage
           Lesions of the Ankle
    • Authors: Clanton, T. O; Johnson, N. S, Matheny, L. M.
      Pages: 764 - 770
      Abstract: Background: The purpose of this study was to document outcomes following microfracture of articular cartilage lesions of the ankle. Our hypothesis was that patients who underwent ankle microfracture would have good to excellent outcomes. Methods: This study was institutional review board approved. Patients older than 18 years who underwent ankle microfracture surgery for Outerbridge grade 3 or 4 articular cartilage lesions, by a single surgeon, were included. Detailed intraoperative findings were documented at surgery. Patients completed a questionnaire with Foot and Ankle Disability Index (FADI), Lysholm, Tegner, and patient satisfaction with outcome. All data were collected prospectively and stored in a data registry and retrospectively reviewed. Forty patients (21 males, 19 females, mean age = 42 years [range, 19-65 years]) were included in this study. Thirteen (33%) had previous ankle surgery. Follow-up was obtained for 94% of patients (n = 34). Mean follow-up time was 26 months (range, 12-48 months). Results: Mean talar defect size was 70 mm2 (range, 4-300 mm2). Mean tibia defect size was 31 mm2 (range, 8-54 mm2). Four patients (10.5%) required subsequent surgery following microfracture surgery. Mean time to second surgery was 17 months (range, 4-32 months). Mean Lysholm score was 74 (range, 31-96). Mean FADI Activities of Daily Living (ADL) was 81 (range, 33-99), FADI Sport was 62 (range, 13-100), and FADI total score was 77 (range, 28-98). Median Tegner was 4 (range, 0-10). Median patient satisfaction was 8 (range, 3-10). Patients who had previous ankle surgery had significantly lower outcome scores versus patients who did not have previous ankle surgery for FADI ADL (70 vs 81, P = .029) and FADI Total (51 vs 77, P = .028). Days from injury to surgery were correlated with age at surgery (r = .323, P = .042) and negatively correlated with FADI ADL (r = –.431, P = .014), FADI Sport (r = –.490, P = .004), FADI Total (r = –.429, P = .014), and Tegner (r = –.402, P = .023). Conclusion: Patients who underwent microfracture for grade 3 or 4 ankle articular cartilage lesions had high patient satisfaction. Patients who had previous ankle surgery had lower postoperative ankle function; however, patient satisfaction remained high. This study supports microfracture for treatment of grade 3 and 4 ankle articular cartilage lesions. Level of Evidence: Level IV, case series.
      PubDate: 2014-07-30T16:05:33-07:00
      DOI: 10.1177/1071100714539656|hwp:master-id:spfai;1071100714539656
      Issue No: Vol. 35, No. 8 (2014)
       
  • Functional Treatment or Cast Immobilization After Minimally Invasive
           
    • Authors: Groetelaers, R. P. T. G. C; Janssen, L, van der Velden, J, Wieland, A. W. J, Amendt, A. G. F. M, Geelen, P. H. J, Janzing, H. M. J.
      Pages: 771 - 778
      Abstract: Background: Operative repair of an acute Achilles tendon rupture (ATR) reduces the risk of re-rupture and has therefore gained popularity as a standard treatment for ATR, especially in the young and physically active patient. There is ongoing controversy over the best surgical technique and postoperative treatment. In this prospective, randomized trial, we compared cast immobilization and functional treatment with early mobilization and weightbearing after using a minimally invasive surgical technique in patients with ATR. Methods: All patients with ATR were included. Exclusion criteria were systemic immunosuppressive therapy, re-ruptures, and severe comorbidity. All included patients underwent minimally invasive surgery, after which a below-knee splint with the foot in 10 degrees of plantar flexion was applied for the first week. Patients were then randomized to the cast immobilization group (IG) for 6 weeks or to the functional group (FG) for 6 weeks. Sixty patients were included. Median age was 43 years (range, 19-65), and 78% were male. Most ATRs were sports related. Data were collected preoperatively and during the outpatient checks at 1, 3, and 6 weeks; 3 and 6 months; and 1 year. Outcome parameters were return to work or sport, complications including re-rupture, Achilles rupture performance score (ARPS), loss of strength, range of motion, subjective result, and quality-of-life (QoL) scores. Results: In our follow-up period, we did not see differences in strength, QoL scores, return to work or sports, or ARPS between the 2 treatment groups. The patients in the FG reported more complaints, mostly pain, in the first weeks after surgery, probably because of the exercise program starting 1 week postsurgery. The overall complication rate was low. In each group, we had 1 re-rupture; in the IG, however, 2 patients had a deep venous thrombosis, despite low-molecular-weight heparin. Conclusion: The minimally invasive repair of ATR was a safe and reliable technique with good results. Early mobilization seemed to be as safe as more traditional postoperative immobilization with equal patient satisfaction. Although not significantly different, we saw more major complications in the IG. Level of Evidence: Level I, prospective randomized trial.
      PubDate: 2014-07-30T16:05:33-07:00
      DOI: 10.1177/1071100714536167|hwp:master-id:spfai;1071100714536167
      Issue No: Vol. 35, No. 8 (2014)
       
  • Quantification of Shear Stresses Within a Transtibial Prosthetic Socket
    • Authors: Schiff, A; Havey, R, Carandang, G, Wickman, A, Angelico, J, Patwardhan, A, Pinzur, M.
      Pages: 779 - 782
      Abstract: Background: There is a paucity of objectively recorded data delineating the pattern of weightbearing distribution within the prosthetic socket of patients with transtibial amputation. Our current knowledge is based primarily on information obtained from finite element analysis computer models. Methods: Four high-functioning transtibial amputees were fit with similar custom prosthetic sockets. Three load cells were incorporated into each socket at high stress contact areas predicted by computer modeling. Dynamic recording of prosthetic socket loading was accomplished during rising from a sitting position, stepping from a 2-leg stance to a 1-leg stance, and during the initiation of walking. By comparing the loads measured at each of the 3 critical locations, anterior/posterior shear, superior/inferior shear, and end weightbearing were recorded. Results: The same load pattern in all 4 subjects was found during each of the 3 functional activities. The load transmission at the distal end of the amputation residual limbs was negligible. Consistent forces were observed in both the anterior/posterior and superior/inferior planes. Correlation coefficients were used to compare the loads measured in each of the 4 subjects, which ranged from a low of .82 to a high of .98, where a value approaching 1.0 implies a linear relationship amongst subjects. Conclusion: This experimental model appears to have accurately recorded loading within a transtibial prosthetic socket consistent with previously reported finite element analysis computer models. Clinical Relevance: This clinical model will allow objective measurement of weightbearing within the prosthetic socket of transtibial amputees and allow objective comparison of weightbearing distribution within the prosthetic sockets of patients who have undergone creation of different versions of a transtibial amputation residual limb and prosthetic socket designs.
      PubDate: 2014-07-30T16:05:33-07:00
      DOI: 10.1177/1071100714535201|hwp:master-id:spfai;1071100714535201
      Issue No: Vol. 35, No. 8 (2014)
       
  • Effectiveness and Complications Associated With Recombinant Human Bone
           Morphogenetic Protein-2 Augmentation of Foot and Ankle Fusions and
           Fracture Nonunions
    • Authors: Rearick, T; Charlton, T. P, Thordarson, D.
      Pages: 783 - 788
      Abstract: Background: Recombinant human bone morphogenetic protein-2 (rhBMP-2) has been used to augment bone healing and fusion in a variety of orthopaedic conditions. However, there is a paucity of data evaluating the potential benefits of its use in foot and ankle surgery. The purpose of this study was to investigate the effectiveness and associated complications with the use of rhBMP-2 in high-risk foot and ankle fusions and fracture nonunions. Methods: A total of 51 cases in 48 patients undergoing foot and ankle fusions or fracture nonunion revisions and considered at high risk for subsequent nonunion were identified through a retrospective review in which rhBMP-2 was used as an augment for bone healing. Rate of union, time to union, and associated complications were evaluated. Results: Forty-seven of 51 high-risk cases treated with rhBMP-2 united for a per-case union rate of 92.2%. Seventy-eight of 82 individual sites treated with rhBMP-2 united for a per-site union rate of 95.1%. Of the successful unions, the mean time to union was 111 days (95% confidence interval, 101-121). There were no statistically significant differences in time to union with regard to supplementation with bone allograft or autograft or size of rhBMP-2 kit used. Complication rates were low. Conclusion: rhBMP-2 was a safe and apparently effective adjunct to bony union in high-risk foot and ankle surgeries. Further randomized controlled trials are warranted. Level of Evidence: Level IV, retrospective case series.
      PubDate: 2014-07-30T16:05:33-07:00
      DOI: 10.1177/1071100714536166|hwp:master-id:spfai;1071100714536166
      Issue No: Vol. 35, No. 8 (2014)
       
  • Detection of In Vivo Foot and Ankle Implants by Walkthrough Metal
           Detectors
    • Authors: Chan, J. Y; Mani, S. B, Williams, P. N, O'Malley, M. J, Levine, D. S, Roberts, M. M, Ellis, S. J.
      Pages: 789 - 795
      Abstract: Background: Heightened security concerns have made metal detectors a standard security measure in many locations. While prior studies have investigated the detection rates of various hip and knee implants, none have looked specifically at the detection of foot and ankle implants in an in vivo model. Our goals were to identify which commonly used foot and ankle implants would be detected by walkthrough metal detectors both in vivo and ex vivo. Methods: Over a 7-month period, 153 weightbearing patients with foot and ankle hardware were recruited to walk through a standard airport metal detector at 3 different program settings (buildings, airports, and airports enhanced) with a base sensitivity of 165 (arbitrary units), as currently used by the Transportation Security Administration. The number of implants, location and type, as well as the presence of concomitant hardware outside of the foot and ankle were recorded. To determine the detection rate of common foot and ankle implants ex vivo, different hardware sets were walked through the detector at all 3 program settings. Results: Seventeen patients were found to have detectable hardware at the buildings, airports, and airports enhanced settings. An additional 3 patients had hardware only detected at the airports enhanced setting. All 20 of these patients had concomitant metal implants outside of the foot and ankle from other orthopaedic procedures. All patients with foot and ankle implants alone passed through undetected. Seven hardware sets were detected ex vivo at the airports enhanced setting. Conclusion: Our results indicate that patients with foot and ankle implants alone are unlikely to be detected by walkthrough metal detectors at standard airport settings. When additional hardware is present from orthopaedic procedures outside of the foot and ankle, metal detection rates were higher. We believe that these results are important for surgeons in order to educate patients on how they might be affected when walking through a metal detector such as while traveling. Level of Evidence: Level II, prospective comparative study.
      PubDate: 2014-07-30T16:05:33-07:00
      DOI: 10.1177/1071100714534655|hwp:master-id:spfai;1071100714534655
      Issue No: Vol. 35, No. 8 (2014)
       
  • Effects of Continuous Irrigation During Burring on Thermal Necrosis and
           Fusion Strength in a Rabbit Arthrodesis Model
    • Authors: Haddad, S. L; Hsu, A. R, Templin, C. R, Ren, Y, Stewart, B, Kohli, N. S, Zhang, L.-Q.
      Pages: 796 - 801
      Abstract: Background: High-speed burring used to prepare bony surfaces during arthrodesis procedures can increase heat generation that may impede healing and fusion. Irrigation during burring has the potential to improve early healing of burred bone surfaces and result in a stronger fusion mass. The purpose of this study was to determine the effects of continuous irrigation during burring on thermal necrosis and fusion strength in an in vivo arthrodesis animal model. Methods: A small joint rabbit ulnohumeral arthrodesis model was developed and utilized in 16 New Zealand white rabbits. Joints were prepared and contoured using a high-speed cutting burr and fixed in compression with crossed screws to obtain fusion. Prepared bony surfaces were either irrigated (n = 8) with chilled 6°C (43°F) saline or not irrigated (n = 8). Specimens were harvested, radiographed, mechanically tested for torque to failure and stiffness, and evaluated for histology. Results: Fusion rate was 100% (8/8) when joints were irrigated during burring and 75% (6/8) when joints were not irrigated (P = .45). Mechanical testing showed a mean torque to failure of 0.85 Nm and 0.72 Nm in irrigated and nonirrigated specimens, respectively (P = .57). Histology showed evidence of less mature osseous formation in nonirrigated specimens compared to irrigated specimens. Conclusion: There was an overall trend toward decreased fusion rate and lower fusion mass strength in nonirrigated fusion specimens compared with those treated with chilled irrigation during bone preparation. Clinical Relevance: Continuous chilled irrigation during bone preparation with burring may have a positive effect on fusion rate and fusion mass strength for arthrodesis procedures.
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714535767|hwp:master-id:spfai;1071100714535767
      Issue No: Vol. 35, No. 8 (2014)
       
  • Effect of Dorsal Plate Positioning on Dorsiflexion Angle in Arthrodesis of
           the First Metatarsophalangeal Joint: A Cadaveric Study
    • Authors: Lewis, J. T; Hanselman, A. E, Lalli, T. A. J, Daigre, J. L, Santrock, R. D.
      Pages: 802 - 808
      Abstract: Background: The relationship between dorsal plate positioning and final dorsiflexion angle after first metatarsophalangeal (MTP) joint fusion has not been well established. The main purpose of this study was to investigate whether changes in dorsal plate positioning along the longitudinal axis affect fusion dorsiflexion angle, as excessive dorsiflexion angles can lead to poor clinical results. Methods: Ten cadaver foot specimens were randomly assigned to 2 groups for first MTP joint fusion: 1 group used a straight plate, and the other group used a 10-degree precontoured plate. After routine preparation, the plates were placed in an "ideal" position based on clinical and radiological examination. The plates were then moved proximally 3 mm and 6 mm from the initial site, with repeat imaging completed at each position. The radiological dorsiflexion angle was determined for each position, and the results were assessed. Results: Placement of both straight and precontoured plates at positions more proximal from the initial position led to significant increases in dorsiflexion angles (P = .04), although the percentage change was larger in the precontoured plate group (P = .01). While placement of the plate 3 mm proximal from the perceived "ideal" position did increase the dorsiflexion angle, the percentage of specimens with dorsiflexion angles in the suggested optimal range changed minimally. Positioning at 6 mm from the starting point, however, led to significantly increased dorsiflexion angles for both plates (P = .004). Conclusion: Positioning the dorsal plate at more proximal locations leads to increasing dorsiflexion angles. Precontoured plates are more likely to lead to excessive dorsiflexion compared with straight plates regardless of plate position. Clinical Relevance: Fusion at excessive dorsiflexion angles can be minimized with appropriate selection and proper positioning of the dorsal fusion plate along the longitudinal axis.
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714534419|hwp:master-id:spfai;1071100714534419
      Issue No: Vol. 35, No. 8 (2014)
       
  • Biomechanical Comparison of an Open vs Arthroscopic Approach for Lateral
           Ankle Instability
    • Authors: Drakos, M. C; Behrens, S. B, Paller, D, Murphy, C, DiGiovanni, C. W.
      Pages: 809 - 815
      Abstract: Background: The current clinical standard for the surgical treatment of ankle instability remains the open modified Broström procedure. Modern advents in arthroscopic technology have allowed physicians to perform certain foot and ankle procedures arthroscopically as opposed to traditional open approaches. Methods: Twenty matched lower extremity cadaver specimens were obtained. Steinman pins were inserted into the tibia and talus with 6 sensors affixed to each pin. Specimens were placed in a Telos ankle stress apparatus in an anteroposterior and then lateral position, while a 1.7 N-m load was applied. For each of these tests, movement of the sensors was measured in 3 planes using the Optotrak Computer Navigation System. Changes in position were calculated and compared with the unloaded state. The anteriortalofibular ligament and the calcaneofibular ligament were thereafter sectioned from the fibula. The aforementioned measurements in the loaded and unloaded states were repeated on the specimens. The sectioned ligaments were then repaired using 2 corkscrew anchors. Ten specimens were repaired using a standard open Broström-type repair, while the matched pairs were repaired using an arthroscopic technique. Measurements were repeated and compared using a paired t test. Results: There was a statistically significant difference between the sectioned state and the other 3 states (P < .05). There were no statistically significant differences between the intact state and either the open or arthroscopic state (P > .05). There were no significant differences between the open and arthroscopic repairs with respect to translation and total combined motion during the talar tilt test (P > .05). Statistically significant differences were demonstrated between the 2 methods in 3 specific axes of movement during talar tilt (P = .04). Conclusion: Biomechanically effective ankle stabilization may be amenable to a minimally invasive approach. Clinical Relevance: A minimally invasive, arthroscopic approach can be considered for treating patients with lateral ankle instability who have failed conservative treatment.
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714535765|hwp:master-id:spfai;1071100714535765
      Issue No: Vol. 35, No. 8 (2014)
       
  • Windlass Mechanism in Individuals With Diabetes Mellitus, Peripheral
           Neuropathy, and Low Medial Longitudinal Arch Height
    • Authors: Gelber, J. R; Sinacore, D. R, Strube, M. J, Mueller, M. J, Johnson, J. E, Prior, F. W, Hastings, M. K.
      Pages: 816 - 824
      Abstract: Background: The windlass mechanism, acting through the plantar fascia, stabilizes the arches of the foot during stance phase of gait. The purpose of this study was to compare changes in radiographic measurements of the medial longitudinal arch (MLA) between toe-flat and -extended positions in participants with and without diabetes mellitus (DM), peripheral neuropathy (PN), and a low MLA. Methods: Twelve participants with DMPN and low MLA and 12 controls received weightbearing radiographs in a toe-flat and toe-extended position. DMPN participants were subcategorized from radiographs into DMPN severe, evidence of severe joint changes, and DMPN low, absence of joint changes. Primary measurements of MLA were determined in each position and included Meary’s angle, talar declination angle, first metatarsal declination angle, and navicular height. Results: The DMPN severe group had no difference between toe-flat and -extended positions for Meary’s, talar declination, and first metatarsal declination angles (P > .35) while navicular height elevated (P < .05). The DMPN low group had no difference between toe-flat and -extended positions for talar declination angle (P = .38), while Meary’s angle, first metatarsal declination angle, and navicular height elevated (P < .05). All measurements in the control group changed, consistent with arch height elevation, when toes were extended (P < .05). Conclusion: The DMPN severe and low groups showed impaired ability to raise the arch from the toe-flat to -extended position. Further research is needed to examine the contribution of specific windlass mechanism components (ie, plantar fascia, ligament, foot joint integrity, and mobility) as they relate to progressive foot deformity in adults with DMPN. Level of Evidence: Level III, comparative series.
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714538416|hwp:master-id:spfai;1071100714538416
      Issue No: Vol. 35, No. 8 (2014)
       
  • Concomitant First and Second Metatarsophalangeal Arthrodesis for
           Intractable Second Metatarsophalangeal Joint Pain
    • Authors: Hirose, C. B; Gamboa, J. T, Coughlin, M. J.
      Pages: 825 - 828
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714534212|hwp:master-id:spfai;1071100714534212
      Issue No: Vol. 35, No. 8 (2014)
       
  • Combined Posterior and Anterior Ankle Arthroscopy for Posterior and
           Anterior Ankle Impingement Syndrome in a Switching Position
    • Authors: Wang, X; Zhao, Z, Liu, X, Zhang, J, Shen, J.
      Pages: 829 - 833
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714534213|hwp:master-id:spfai;1071100714534213
      Issue No: Vol. 35, No. 8 (2014)
       
  • Arthroscopic Treatment of Posterior Ankle Impingement in the Supine
           Position Using Coaxial Posterior Portals
    • Authors: Lui; T. H.
      Pages: 834 - 837
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714534218|hwp:master-id:spfai;1071100714534218
      Issue No: Vol. 35, No. 8 (2014)
       
  • The Silfverskiold Test
    • Authors: Symeonidis; P.
      Pages: 838 - 838
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714535202|hwp:resource-id:spfai;35/8/838
      Issue No: Vol. 35, No. 8 (2014)
       
  • Author Response
    • Authors: DeOrio, J. K; Lewis, J. S.
      Pages: 839 - 839
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714541663|hwp:resource-id:spfai;35/8/839
      Issue No: Vol. 35, No. 8 (2014)
       
  • Re: Comparison of Clinical Outcome of Pronation External Rotation Versus
           Supination External Rotation Ankle Fractures
    • Authors: Liu, Y; Li, H.
      Pages: 840 - 840
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714539664|hwp:resource-id:spfai;35/8/840
      Issue No: Vol. 35, No. 8 (2014)
       
  • Author Response
    • Authors: Schottel, P. C; Lorich, D. G.
      Pages: 841 - 841
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714540863|hwp:resource-id:spfai;35/8/841
      Issue No: Vol. 35, No. 8 (2014)
       
  • Education Calendar
    • Pages: 842 - 842
      PubDate: 2014-07-30T16:05:34-07:00
      DOI: 10.1177/1071100714546485|hwp:resource-id:spfai;35/8/842
      Issue No: Vol. 35, No. 8 (2014)
       
 
 
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