Now up on the Journal of Foot And Ankle Surgery website are two new articles that are currently available online only. Both articles, by Lawrence A. DiDomenico, demonstrate new fixation options for rearfoot procedures including calcaneal displacement osteotomies and pantalar / tibiotalocalcaneal arthrodesis. You can start to read about these new appraoches below and the links will take you to where you can purchase the full articel if desired.
Double Calcaneal Osteotomy Using Single, Dual-Function Screw Fixation Technique
Authors: Lawrence A. DiDomenico, DPM; A. Anthony Haro III, DPM; Davina J. Cross, DPM
Historically, a variety of fixation techniques for calcaneal osteotomies have been used. The prevention of postoperative sequelae, including delayed or nonunion of the osteotomy sites and minimization of soft tissue damage, is always a primary consideration for foot and ankle surgeons. The present report describes a fixation technique for a double calcaneal osteotomy that entails use of a single screw that functions as both a positional tool, as well as a compressive fixation device. This technique provides compressive and positional qualities and decreases the amount of soft tissue disruption to the surgical site.
Authors: Lawrence A. DiDomenico, DPM; A. Anthony Haro III, DPM; Davina J. Cross, DPM
Historically, a variety of fixation techniques for calcaneal osteotomies have been used. The prevention of postoperative sequelae, including delayed or nonunion of the osteotomy sites and minimization of soft tissue damage, is always a primary consideration for foot and ankle surgeons. The present report describes a fixation technique for a double calcaneal osteotomy that entails use of a single screw that functions as both a positional tool, as well as a compressive fixation device. This technique provides compressive and positional qualities and decreases the amount of soft tissue disruption to the surgical site.
Authors: Lawrence A. DiDomenico, DPM; A. Anthony Haro III, DPM; Davina J. Cross, DPM
Historically, a variety of fixation techniques for calcaneal osteotomies have been used. The prevention of postoperative sequelae, including delayed or nonunion of the osteotomy sites and minimization of soft tissue damage, is always a primary consideration for foot and ankle surgeons. The present report describes a fixation technique for a double calcaneal osteotomy that entails use of a single screw that functions as both a positional tool, as well as a compressive fixation device. This technique provides compressive and positional qualities and decreases the amount of soft tissue disruption to the surgical site.
Posterior Approach Using Anterior Ankle Arthrodesis Locking Plate for Tibiotalocalcaneal Arthrodesis
Authors: Lawrence A. DiDomenico, DPM; Paul Sann, DPM
Tibiotalocalcaneal arthrodesis is a successful treatment for patients with severe pain and functional disability in the ankle and subtalar joint. Patients with post-traumatic ankle and subtalar joint arthritis, and/or Charcot deformity, often present with compromised skin and soft tissue structures. In the present report, we describe a technique using an anterior ankle arthrodesis locking plate placed posteriorly to obtain hindfoot and ankle fusion. This technique, which uses the well vascularized, thick, posterior soft tissue envelope, provides very good exposure of the articular surfaces for resection and tibiotalocalcaneal fusion. The technique provides a valuable option for patients with compromised skin and soft tissue structures over aspects of the ankle that make other approaches risky and complicated.
No comments:
Post a Comment