Foot and ankle clinics
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Ankle fractures are some of the most common injuries that are treated by orthopedic surgeons. Optimal long-term results of ankle fractures require accurate reconstruction, a thorough understanding of the mechanism of injury, and accurate radiographic assessment. ⋯ The indications for fusion or arthroplasty to treat end-stage degenerative changes are discussed. The treatment of concomitant infection and neuropathic fractures are outlined.
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Lisfranc joint injuries may be missed at the time of occurrence potentially leading to persistent instability, deformity, or arthritis. In the absence of significant residual arthritis or fixed deformity, delayed open reduction and internal fixation with or without reconstruction of the Lisfranc ligament may be performed. ⋯ In the presence of significant residual arthritis or fixed deformity that is recalcitrant to conservative treatment, arthrodesis, including correction of deformity, is the treatment of choice for the first, second, and third TMT joints. Resection arthroplasty of the fourth and fifth TMT joints may be preferable to arthrodesis in order to maintain physiologic motion.
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Malunited and nonunited talar fractures cause significant disability. Distinction between partial and total avascular necrosis (AVN) determines the choice of treatment. Patients who have minimal or no AVN and well-preserved joint cartilage may be amenable to corrective osteotomy through the malunited fracture or removal of the pseudoarthrosis. ⋯ If symptomatic arthritis is present, arthrodeses and correction of deformity through the fusion or with additional osteotomies provide predictable results, although they do not restore normal foot function. Fusions should be limited to the affected joint. If the subtalar joint shows severe arthritic changes, every attempt should be made to salvage the ankle and talonavicular joints.
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Foot and ankle clinics · Mar 2006
ReviewTreatment of posttraumatic injuries to the nerves in the foot and ankle.
Nerve injuries of the foot and ankle can result in pain, numbness, or loss of motor function. A thorough history and physical examination are required to diagnose the injury correctly and guide treatment. Treatment may involve conservative measures, primary nerve repair or nerve grafting, or resection and relocation of painful neuroma. Potential complications include the development of chronic pain syndromes.