Ankle Arthroscopy
Van Bergen et al. reported the longterm
outcomes of fifty patients treated with
arthroscopic debridement and marrow
stimulation for primary osteochondral
lesions of the talus
This study suggests that the good initial
results reported following arthroscopic
treatment of osteochondral lesions of the
talus were durable over time. No
prognostic factors were identified.
Flatfoot Deformity
Mosca and Bevan retrospectively reviewed
eight patients with thirteen symptomatic
talocalcaneal tarsal coalitions treated with
a lateral column calcaneal lengthening
osteotomy with or without coalition
resection
The authors reported excellent deformity
correction and pain relief by addressing
flatfoot with the calcaneal lengthening
osteotomy
Flatfoot Deformity
Oh et al. performed a cadaver study
evaluating the alteration in pressure
across the lateral part of the forefoot with
incremental increases in lateral column
calcaneal lengthening. With progressive
increases in lateral column lengthening,
the plantar lateral forefoot pressure
consistently increased and talonavicular
abduction was consistently reduced
Flatfoot Deformity
Kang et al. compared radiographic
measurements of the length of the
lateral column among patients with
established adult acquired flatfoot
deformity and a control population
The authors determined that flatfoot
deformity is therefore not due to
shortening of the lateral column
Achilles Tendon
Soroceanu et al. review of highquality randomized controlled trials
that compared surgical to
nonsurgical treatment of acute
Achilles tendon ruptures included
several newer trials that have
employed functional bracing and
rehabilitation protocols for
nonsurgical treatment
Achilles Tendon
If functional rehabilitation was
utilized, the rerupture rates were
equal for surgical and nonsurgically
treated patients, but if early range of
motion was not utilized, then surgery
reduced absolute risk of rerupture by
8.8%. Surgery was associated with an
absolute risk increase of 15.8% for
complications other than rerupture
Achilles Tendon
A systematic meta-analysis of trials that
evaluated the effectiveness of
extracorporeal shock wave therapy in
the treatment of chronic insertional and
non-insertional Achilles tendinopathy
was performed by Al-Abbad and Simon
Results improved when extracorporeal
shock wave therapy was combined with
an eccentric Achilles stretching program
Achilles Tendon
Schon et al. reviewed their experience with
fifty-eight cases of Achilles tendon
debridement combined with a flexor hallucis
longus tendon transfer for treatment of
chronic insertional or non-insertional Achilles
tendinosis. A significant improvement was
noted in Achilles tendon function, physical
function, and pain intensity. This procedure
remains a reliable surgical option with
minimal sequelae of hallux plantar flexion
weakness
Hallux Rigidus
OMalley et al. Reported significant
improvements in AOFAS scores and
dorsiflexion of the
firstmetatarsophalangeal joint with a
combined cheilectomy and great toe
proximal phalangeal extension osteotomy
at a mean follow-up of 4.3 years. This
may offer another joint-sparing
alternative to fusion for treatment of
advanced hallux rigidus.
Hallux Rigidus
McNeil et al. to analyze the quality of
evidence supporting different surgical
interventions. Although 586 articles on hallux
rigidus were identified at the timeof the
study, only surgical arthrodesis had fair
evidence to support its use as treatment for
this condition. Cheilectomy, osteotomy,
implant arthroplasty, resection arthroplasty,
and interpositional arthroplasty had only poor
evidence to support its use for treatment of
hallux rigidus
Morton Neuroma
Thomson et al. performed a patient-blinded
randomized clinical trial comparing the effect
of a corticosteroid injection (1 mL of
methylprednisolone [40mg], and 1mL
2%lignocaine) to an anesthetic injection alone
(2 mL 1% lignocaine)
Compared with the control group, patients
receiving the corticosteroid injection scored
significantly better in terms of global
assessment of foot health at one and three
months
Bone-Grafting
Hyer et al. Prospectively evaluated bonemarrow aspirates from the iliac crest, the
distal part of the tibia, and the calcaneus
to determine which would yield the
highest quantity of osteoblastic
progenitor cells. While osteoblastic
progenitor cells were present at each
location, the bone-marrow aspirate from
the iliac crest had the highest mean
concentration.
THANK YOU