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Article
Autologous bone graft has multiple harvest sites that can aid in revision surgery. Bone marrow aspirate offers the potential of undifferentiated mesenchymal cells. Allograft options are available for surgery.Article
Complications of lesser toes are common and can lead to significant morbidity for the patient when they occur. Identifying key patient related variables, such as inflammatory arthritis, diabetes mellitus, neuropathy, and mental health issues, i[...]Article
Autogenous, allogenic, or synthetic bone graft should be incorporated into the surgical plan for implant conversion to arthrodesis of the first metatarsophalangeal joint. The optimal fixation for arthrodesis should include a construct that bi[...]Article
Allograft lateral ankle ligament anatomic reconstruction seems to be a good option for revision surgery. Patients that have failed a previous lateral ankle procedure need to be evaluated for conditions that lead to ligament laxity or biomecha[...]Article
Peroneal tendon revision for recurrent tears requires a high level of suspicion and thorough mechanical evaluation with advanced imaging for accurate evaluation. Tendon degeneration is often found intraoperatively and requires tendon transf[...]Article
Understanding each component of the malaligned deformity is crucial to proper preoperative planning. Ideal position for ankle fusion is 0° to 5° of hindfoot valgus, neutral position in the sagittal plane, and 5° to 10° of external rotation as[...]Article
Lesser metatarsophalangeal joint arthrodesis, although not common, provides a good option for revision surgery for a failed hammertoe. A stable fixation construct provides an optimal healing environment. Optimal positioning of the arthrodes[...]Article
Trephine technique provides an excellent option for revision tarsometatarsal joint arthrodesis. A stable fixation construct provides an optimal healing environment. Maintaining a 1-mm cortical edge around the medial, lateral, and plantar co[...]