Indications and Interpretation of Stress Radiographs in Supination External Rotation Ankle Fractures.

Introduction In supination external rotation (SER) ankle fractures with an intact medial malleolus, stability hinges upon the competence of the deltoid ligament. The purpose of this study is to define the indications and establish criteria for a positive stress radiograph. Methods This is a prospective study of 27 isolated SER lateral malleolar fractures with a reduced ankle mortise.

Traumatic Bifocal whereas and Ipsilateral Posterior Knee Dislocation: A Case Report.

Case: A 19-year-old man sustained combined, ipsilateral inferior hip and posterior knee fracture-dislocations secondary to a motor vehicle collision. He underwent immediate closed reduction of the knee and delayed open reduction internal fixation but required emergent open hip reduction for an irreducible femoral head incarcerated on a pubic root fracture. At the 1-year follow-up, he demonstrated excellent functional outcome with painless and full hip and knee range of motion.

Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis.

Despite success of the Ponseti method, a subset of patients with clubfeet experience residual deformity. Surgical release after unsuccessful serial casting can lead to residual clubfoot deformities, including a flat-top talus. We present a case of a 17-year-old boy with a dysmorphic ankle and a complete dorsal dislocation of the Chopart joint.

Staged Percutaneous Treatment of a Complete Lisfranc Dislocation Secondary to Charcot Arthropathy: A Case Report.

Case: A 36-year-old woman with diabetic neuropathy presented with complete dorsal dislocation of the midfoot secondary to Charcot arthropathy. She was treated in a staged fashion with a Taylor spatial butt frame to distract and reduce the midfoot followed by percutaneous preparation of the tarsometatarsal (TMT) joints and fixator-assisted fusion. The arthrodesis healed successfully with maintenance of function at the 30-month follow-up.

Comparison of Tendon Lengthening With Traditional Versus Accelerated Rehabilitation After Achilles Tendon Repair: A Prospective Randomized Controlled Trial.

Background: Early weightbearing protocols after Achilles tendon repair promote mobilization, yet little is known about their effect on tendon lengthening.

Purpose: To evaluate tendon lengthening after Achilles tendon repair with accelerated rehabilitation.

Study Design: Randomized controlled trial; Level of evidence, 1.

Staged Treatment of Chronic Locked Fracture-Dislocation of the Calcaneus: A Case Report.

Case: A 49-year-old woman presented 5 months after a missed locked fracture-dislocation of the calcaneus. This was treated with a Taylor spatial frame for deformity correction before definitive open reduction internal fixation with subtalar fusion. She is now 4 and a half years postoperative with an active lifestyle and no pain.

Infection and Rerupture After Surgical Repair of Achilles Tendons.

Background: Surgical repair of an Achilles tendon rupture has been shown to decrease rerupture rates. However, surgery also increases the risk of complications, including infection.

Purpose: To determine the risk factors for infection and rerupture after primary repair of Achilles tendon ruptures.

Preoperative planning and intraoperative technique for accurate realignment of the Dwyer calcaneal osteotomy.

The Dwyer calcaneal osteotomy is an effective procedure for the correction of calcaneal varus deformity. However, no intraoperative method has been described to determine the amount of bone resection. We describe a simple intraoperative method for assuring accurate bone resection and measure the realignment effects of the Dwyer calcaneal osteotomy.