Ortho Oracle - orthopaedic operative atlas

Clinical Outcome of Arthrodesis of the Ankle Using Rigid Internal Fixation with Cancellous Screws

Foot Ankle Int. 1999 Apr;20(4):227-231   Monroe MT, Beals TC, Manoli A 2nd   ABSTRACT   BACKGROUND/METHODS: Thirty consecutive patients underwent arthrodesis of the ankle using rigid internal fixation with cancellous screws between 1992 and 1996.   RESULTS: One patient died of causes unrelated to the surgery before bony union. Primary fusion occurred in 27 … Read more

Clinical Outcome of Tibiotalar Arthrodesis Utilizing the Chevron Technique

Foot Ankle Int. 2004 Apr;25(4):225-230   Kopp FJ, Banks MA, Marcus RE   ABSTRACT   BACKGROUND: Tibiotalar arthrodesis remains the gold standard reconstructive procedure for the treatment of disabling ankle arthritis. The purpose of this study was to review the clinical results of tibiotalar arthrodesis utilizing the chevron fusion technique.   METHODS: The results of … Read more

Clinical Comparison of Two Total Ankle Replacements

Foot Ankle Int. 2000 Jul;21(7):546-550   Wood PLR, Clough TM, Jari S ABSTRACT   BACKGROUND: We compared the outcome of the cemented Thompson Parkridge Richards (TPR) ankle prosthesis with that of the cementless Scandinavian Total Ankle Replacement (STAR) ankle prosthesis in a demographically similar group of patients.   METHODS: These were 14 consecutive arthroplasties in … Read more

Arthrodesis of the First MP Joint

– Discussion: – this is probably an under rated procedure in terms of its indications; – surgical indications: – hallux valgus + 2nd toe amputation: – great toe is stabilized in part by the presence of 2nd toe; – when it is absent, a hallux valgus valgus deformity is best treated by arthrodesis of first … Read more

Anterior Impingement Syndrome of the Ankle

    – Bony Impingement:     – pts who have persistent pain in anterior aspect of ankle & who have anterior tibiotalar spur evident on a lateral roentgenogram need additional diagnostic evaluation and management;     – extreme dorsiflexion required by the demiplie position in ballet can lead to impingement of anterior lip of … Read more

Ankle Sprain

Discussion pathoanatomy: fibular collateral ligament is made up of three separate structures; these are not as strong as medial ligaments, since lateral support of ankle is also provide by the fibula; anterior talofibular ligament calcaneofibular ligament posterior talofibular Ligaments cervical ligaments: ref: Elongation behavior of calcaneofibular and cervical ligaments during inversion loads applied in an … Read more

Ankle Fracture Menu

– See: – Radiographic Studies – AO/Weber Classification & Surgical Treatment: – Type A – Type B    (Antiglide Plate: ) – Type C – Antiglide Plate – Fracture Dislocations of the Ankle – Lateral Malleolar Fractures – Lauge Hansen Classification: – Pronation – Abduction Injuries – Pronation-External (Eversion) Rotation Injuries – Supination – Adduction Injuries – … Read more

Anke Equinus Contracture

Discussion (see also: role of ankle and subtalar joint in gait) normally, during the transition from foot flat to heel off, the foot dorsiflexes as the body moves forward; gait consequences of equinus contracture: patient may adopt a toe to toe gait pattern or a toe to heel gait pattern (premature forefoot loading) reduced propulsion … Read more

Ankle Arthrodesis

(see also: Sub-Talar Fusion, Tibial-Talar-Calcaneal Fusion Discussion and Outcomes: optimal position for fusion see gait and role of ankle joint in gait ref: Ankle arthrodesis. Long-term follow-up with gait analysis. Exam: perform an Allen test for the foot vasculature; note function of posterior tibial pulse while the dorsalis pedis pulse is occluded and vice versa; … Read more

Arthroscopic Treatment of Osteochondral Lesions of the Distal Tibia

Foot Ankle Int. 2007 Aug;28(8):865-872   Mologne TS, Ferkel RD   ABSTRACT   BACKGROUND: Osteochondral lesions of the tibia are much less frequent than those of the talus, and treatment guidelines have not been established. We hypothesized that arthroscopic treatment methods used for osteochondral lesion of the talus would also be effective for those of … Read more