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•Most pediatric flexible flatfeet are asymptomatic and do not require surgery. •The calcaneal lengthening osteotomy is a powerful corrective procedure for symptomatic flexible pediatric flatfoot. •Assess intraoperatively for residual forefoot [...]Article
A bunionette deformity, or tailor’s bunion, is a prominence of the fifth metatarsal head. The problem is similar to a bunion, except that a bunionette occurs on the outside of the foot. This lesion was described by Davies in 1949.1 This deformit[...]Article
Most mistakes in surgical decision-making occur when trying to correct moderate cavus deformity. • The Coleman block test may not be sufficient for predicting the ability of an osteotomy-based procedure to correct deformity. • [...]Article
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A wide variety of surgical procedures have been described to treat hallux rigidus, each with their own complication profile and reported success rates. • Adequate bone stock for salvage with arthrodesis typically exists after failed joint spari[...]Article
Sagittal distal tibia deformities produce a greater change in tibiotalar joint contact areas than with valgus or varus deformities. • Talar anterior or posterior translation occurs secondary to a distal tibia sagittal deformity and worsens the [...]Article
Hallux valgus associated with metatarsus adducts is a challenging deformity to correct. • A normal or reduced intermetatarsal angle is the most critical part of the deformity, and impedes the displacement of the first metatarsal head. • [...]Article
The reconstitution of normal anatomy in the presence of a valgus ankle deformity is complicated by the position of the Center of Rotation and Angulation (CORA), soft tissue limitations, and complexities related to achieving stable distal fixatio[...]Article
- The correction of all components of a hallux valgus deformity is of paramount importance for treatment success. - Reliable fixation is very important for maintaining surgical corrections. - Advances in internal fixation are a major facto[...]Article
• Osteotomies around the ankle (supramalleolar and calcaneal) and total ankle replacement are challenging arthrodesis as the “gold standard” treatment of end-stage ankle arthritis. • Recent meta-analyses reveal that replacements and arthrodesis[...]Article
- Currently, distal metatarsal osteotomies (DMOs) represent the successful application of the best principles of minimally invasive surgery, historically used for the treatment of metatarsalgia, in the operative management of chronic plantar dia[...]Article
Lesser metatarsal osteotomy is a useful technique for the management of failed conservative treatment of metatarsalgia. • The ideal procedure enables a 3-dimensional correction that is stable and respects the metatarsal cascade. • [...]
