Isolated talonavicular arthrodesis for adult onset flatfoot deformity/posterior tibial tendon dysfunction.

Surgical treatment of the adult onset flatfoot deformity can be a vexing problem. This article attempts to define the specific patient population that may benefit from isolated talonavicular arthrodesis. The authors provide an overview of critical biomechanical and anatomic considerations that must be implemented when performing this procedure.

Bioengineered alternative tissues and hyperbaric oxygen in lower extremity wound healing.

With the advent and clinical application of recombinant chemical and cellular mediators of wound healing and a better understanding of the importance of serial debridement, most foot wounds can be healed with little morbidity. Despite these advances, there remains the recalcitrant wound for which more heroic efforts seem warranted. For these patients, advanced wound healing technologies, orthobiologics, and bioengineered alternative tissues may tilt the scales in the direction of definitive wound closure.