Search Our Scientific Publications & Authors

Foot Ankle Int 2020 May 20:1071100720920846. Epub 2020 May 20.

Massachusetts General Hospital, Boston, MA, USA.

Background: Pain following autograft harvest has been studied; however, published literature has typically focused on the iliac crest with follow-up limited to only a few years. It remains unknown if pain continues or improves over time. The purpose of this study was to evaluate long-term pain associated with autograft harvest to supplement hindfoot or ankle arthrodesis. Read More

J Foot Ankle Surg 2020 May 8. Epub 2020 May 8.

Orthopedic Surgeon, Orthopaedic and Traumatology Department, University Hospital of Martinica, Martinique, France.

Total or complete dislocation of the talus is a triple dislocation of the tibiotalar, talocalcaneal, and talonavicular joints. It is a rare injury and is considered to be 1 of the most disabling ankle injuries. In light of the literature, there is a lack of consensus on their surgical treatment. Read More

JBJS Essent Surg Tech 2020 Jan-Mar;10(1). Epub 2020 Feb 13.

Steps2Walk, Inc., Baltimore, Maryland.

Middle facet tarsal coalition is one of the commonly seen tarsal coalitions in clinical practice that can cause pain and associated flatfoot deformity. Excision of the coalition is one of the treatment options for symptomatic cases. Although symptoms may subside in children following a period of immobilization, resection should be considered as a treatment alternative for children and adolescents because of the potential for restoration of subtalar joint movement. Read More

Foot Ankle Spec 2020 Mar 19:1938640020912859. Epub 2020 Mar 19.

Penn State College of Medicine, Hershey, Pennsylvania (MG, JL, JK).

The purpose of this study was to report the natural history, demographics, and mechanisms of requirement for additional surgery in patients undergoing flatfoot reconstruction for adult acquired flatfoot. A total of 321 consecutive patients undergoing flatfoot reconstruction over a 14-year period were included (2002-2016). All procedures were performed by a senior orthopaedic foot and ankle surgeon at our institution. Read More

Foot Ankle Spec 2020 Mar 13:1938640020910951. Epub 2020 Mar 13.

Department of Orthopaedics, The Medical College of Wisconsin, Wisconsin (AB).

Background: Foot and ankle surgeries in the United States (US) are currently performed by orthopaedic surgeons or podiatrists with specialty surgical training. With the trend in healthcare now placing increased emphasis on quality and standardizing patient care, this study aimed to characterize the distribution, volume, and trends of certain foot and ankle surgeries performed in the US by both orthopaedic surgeons and podiatrists.

Materials And Methods: A retrospective analysis was performed using the Marketscan Claims Database (Truven Health Analytics, Ann Arbor, Michigan) which covers most privately insured patients under the age of 65 in the USA from 2005 to 2014. Read More

Medicine (Baltimore) 2020 Feb;99(7):e18826

Department of Sports Medicine - Foot and Ankle Surgery, Cangzhou Hospital of Integrated TCM-WM, Cangzhou, Hebei, PR China.

To analyze the efficacy of arthrodesis combined with osteotomy applied to subtalar, calcaneocuboid, and talonavicular joints for the treatment of adult rigid flatfoot.This retrospective study included 29 adult patients with rigid flatfoot who underwent triple arthrodesis combined with osteotomy from January 2015 to December 2017. All patients suffered from stage III of adult acquired flatfoot. Read More

Arthrosc Tech 2020 Jan 14;9(1):e103-e109. Epub 2019 Dec 14.

Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong SAR, China.

Severe flatfoot deformity with lack of coverage of the talonavicular joint is frequently treated by triple arthrodesis. Various arthroscopic triple arthroscopic techniques have been described to reduce the extent of soft-tissue dissection. The purpose of this Technical Note is to describe the details of 3-portal arthroscopic triple arthrodesis for correction of severe flatfoot deformity. Read More

Instr Course Lect 2020 ;69:371-380

Tarsal coalitions are common, but fortunately the majority of patients with coalitions are asymptomatic and do not require intervention. When symptomatic, preoperative radiographs and CT scans are useful to characterize the type and extent of coalition. If a trial of nonsurgical management fails, resection, deformity correction, and triple arthrodesis may be considered. Read More

J Orthop Trauma 2020 Feb;34 Suppl 1:S38-S44

Department of Orthopaedic Surger, University of South Florida, Tampa, FL.

Objective: To assess injury patterns and outcomes after navicular fractures.

Design: Retrospective radiographic review using the Schmid classification.

Setting: Academic Level 1 Trauma Center; PATIENTS/PARTICIPANTS:: Thirty-nine navicular fractures associated with additional foot injuries. Read More

Clin Podiatr Med Surg 2020 Jan 21;37(1):117-123. Epub 2019 Oct 21.

Penn Presbyterian Medical Center, Philadelphia, PA, USA; Temple University School of Podiatric Medicine, Philadelphia, PA, USA. Electronic address:

This article discusses rearfoot fusions for foot and ankle surgeons. It establishes normal foot and ankle function primarily in the stance phase of gait. The foot is greatly affected by external and internal forces, which contribute to normal function or the need for compensatory mechanisms. Read More

Spine Deform 2019 11;7(6):917-922

Setting Scoliosis Straight Foundation, 2535 Camino Del Rio S. Suite 325, San Diego, CA, 92108, USA.

Study Design: Observational.

Objective: To examine changes in patient-reported two-year postoperative outcomes via the Scoliosis Research Society (SRS)-24 Outcomes Instrument from 2001 through 2015.

Summary Of Background Data: Techniques for correction of adolescent idiopathic scoliosis (AIS) have evolved over the years, but it is unclear how these changes have impacted patient-reported outcomes. Read More

J Foot Ankle Surg 2019 Sep;58(5):904-915

Community Doctor, Department of Medicine, National and Kapodistrial University of Athens, Athens, Greece.

The purpose of this study is to recognize those young patients with symptomatic flexible flatfoot deformity who need treatment and to provide radiological evidence that arthroereisis is capable of relocating the talus properly over the calcaneus. We included 28 feet in 14 children who underwent subtalar arthroereisis in association with percutaneous triple-hemisection Achilles tendon lengthening. Selected for arthroereisis were children with symptomatic flexible flatfoot deformity who complained of foot and leg pain, had decreased endurance in sports activities and long walks, who did not respond to conservative treatment modalities for at least 6 months, and in whom at radiological assessment on stance position with the medial arch support orthosis the talonavicular joint lateral subluxation still remained, with Meary's angle in anteroposterior (A/P) and lateral view remaining increased. Read More

Clin Orthop Relat Res 2020 01;478(1):8-15

E. L. McDonald, D. I. Pedowitz, R. J. Shakked, D. J. Fuchs. B. S. Winters, J. N. Daniel, S. M. Raikin, Rothman Institute of Orthopaedics, Philadelphia, PA, USA E. L. McDonald, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA S. M. Raikin, Rothman Institute of Orthopaedics, 125 S. 9th Street, Suite 1000, Philadelphia, PA 19107 USA, Email:

Background: With the increase in the number of total ankle arthroplasties (TAA), guidelines on when physicians should begin to consider patients' return to driving are valuable. Further, due to sagittal motion strength, the ankle is the most important mover in braking motions over the knee and hip.

Questions/purposes: (1) Does brake-reaction time return to a safe value within 6 weeks of TAA? (2) Are there factors associated with a delay of return of brake-reaction time to safe values after TAA?

Methods: After obtaining institutional review board approval for the study, we prospectively recruited 60 patients undergoing right TAA. Read More

Rev Bras Ortop (Sao Paulo) 2019 May 27;54(3):275-281. Epub 2019 Jun 27.

Departamento de Ortopedia e Traumatologia, Santa Casa de São Paulo, São Paulo, SP, Brasil.

 The present study aims to evaluate the ability of triple arthrodesis in eliminating the main complaints presented by patients with adult acquired flatfoot deformity (AAFD): 1) disabling hindfoot pain; 2) major deformities, such as medial arch collapse, valgus, abduction, and supination.  A total of 17 patients (20 feet) with advanced AAFD who underwent surgical correction by triple arthrodesis were evaluated after a mean follow-up period of 43 months (range: 18-84 months). The average age of the patients at surgery was 62 years old (range: 38-79 years old). Read More

Med Sci Monit 2019 Jul 1;25:4885-4891. Epub 2019 Jul 1.

Department of Orthopedics, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China (mainland).

BACKGROUND The aim of this study was to investigate the biomechanical fixation effects of different segments of the goat spine on adjacent segmental motion and intradiscal pressure (IDP) change. MATERIAL AND METHODS Eighteen goat spine specimens were randomly divided into 3 groups: group A (single-segment fixation), group B (double-segment fixation), and group C (triple-segment fixation). The motion was tested on each specimen using a spinal motion simulation test system with rational pressure loading. Read More

J Orthop Case Rep 2019 Jan-Feb;9(1):85-89

Department of Orthopaedics, Walk-A-Mile Centre for Advanced Orthopaedics, Centurion 0046, Pretoria, South Africa.

Introduction: Management of neglected clubfoot presents a challenging problem. Treatments traditionally involve extensive posteromedial soft tissue releases, bony procedures, and the Ilizarov technique of differential distraction.

Case Report: We present a case of bilateral neglected clubfoot in a 34-year-old female. Read More

Foot Ankle Surg 2019 May 19. Epub 2019 May 19.

Applied Mechanics and Bioengineering Group (AMB), Aragón Institute of Engineering Research (I3A), Universidad de Zaragoza, Spain.

Background: Treatments of adult acquired flatfoot deformity in early stages (I-IIa-IIb) are focused on strengthening tendons, in isolation or combined with osteotomies, but in stage III, rigidity of foot deformity requires more restrictive procedures such as hindfoot joint arthrodesis. Few experimental studies have assessed the biomechanical effects of these treatments, because of the difficulty of measuring these parameters in cadavers. Our objective was to quantify the biomechanical stress caused by both isolated hindfoot arthrodesis and triple arthrodesis on the main tissues that support the plantar arch. Read More

J Foot Ankle Surg 2019 Mar;58(2):374-376

Orthopedic Surgeon, Department of Orthopaedic Surgery, Bergman Clinics, Rijswijk, The Netherlands.

We report a rare case of a female, aged 42 years, with symptomatic bilateral triple tarsal coalition, that is, talocalcaneal, calcaneonavicular, and talonavicular tarsal coalition. The patient was treated conservatively by adjusting her activities. At the 12-month follow-up, the patient was asymptomatic. Read More

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019826492

Department of Orthopaedics and Traumatology, Duchess of Kent Children's Hospital, Hong Kong.

Objective: The aim of the study is to investigate the long-term outcome of patients who received Lambrinudi arthrodesis for severe equinovarus deformities.

Methods: This is a single-center, retrospective study of patients who received Lambrinudi triple arthrodesis of the foot. Both clinical and radiological information were analyzed. Read More

J Orthop Surg Res 2019 Feb 21;14(1):62. Epub 2019 Feb 21.

Department of Orthopedic Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, China.

Background: Adult acquired flatfoot deformity (AAFD) represents a spectrum of deformities affecting the foot and the ankle. The optimal management of AAFD remains controversial. We evaluated the efficacy of surgical treatments of AAFD using both direct and indirect evidences. Read More

J Foot Ankle Surg 2019 May 8;58(3):577-580. Epub 2019 Feb 8.

Attending Physician, Kaiser Permanente San Leandro, San Leandro, CA.

Few options exist for the treatment of revision and severe cases of end-stage flatfoot deformity. Triple arthrodesis or medial-approach double arthrodesis have been the standard but often do not provide enough correction of the deformity. Lateral column lengthening is a powerful procedure performed either with an Evans calcaneal osteotomy or calcaneocuboid distraction arthrodesis that can be used as an adjunct in realigning the flatfoot. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1249-1254

Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R.China.

Objective: To summarize the effectiveness of limited orthopedic surgery combined with external fixation for the treatment of lower extremity sequelae of middle and old aged post-poliomyelitis, and then to explore the strategy of surgical correction and functional reconstruction method.

Methods: From the database of 23 310 cases of poliomyelitis sequelae treated by QIN Sihe Orthopaedic Surgical team between September 1982 and December 2017, 629 patients over 41 years old were retrieved and the epidemiological characteristics of the patients were analyzed. Between March 2011 and June 2015, 57 patients with poliomyelitis sequelae treated with limited operation and external fixation were followed up 2-6 years, and the history of poliomyelitis sequelae was 41-67 years (mean, 47. Read More

J Foot Ankle Surg 2019 Jan;58(1):165-170

Faculty, Division of Foot & Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Posterior tibial tendon dysfunction (PTTD) is a progressive disorder secondary to advanced degeneration of the posterior tibial tendon, leading to the abduction of the forefoot, valgus rotation of the hindfoot, and collapse of the medial longitudinal arch. Eventually, the disease becomes so advanced that it begins to affect the deltoid ligament over time. This attenuation and eventual tear of the deltoid ligament leads to valgus deformity of the ankle. Read More

Foot Ankle Surg 2019 Dec 15;25(6):842-848. Epub 2018 Nov 15.

Foot and Ankle Unit, Ysbyty Ystrad Fawr, Ystrad Fawr Way, Ystrad Mynach, Hengoed CF82 7EP, United Kingdom.

Background: Delayed union and nonunion following foot and ankle arthrodesis is a disabling complication for patients. There are no clinical studies looking at whether there is a role for use of low-intensity pulsed ultrasound (LIPUS) following this. The aim of this study is to investigate the efficacy of LIPUS in this cohort of patients in our centre. Read More

J Foot Ankle Surg 2019 Jan 15;58(1):109-113. Epub 2018 Nov 15.

Surgeon, Department of Orthopedic Surgery, Albert Einstein Medical Center, Philadelphia, PA.

Rigid flatfoot deformity is a debilitating condition that can be managed by triple arthrodesis surgery. Triple arthrodesis has the potential to restore health-related quality of life, but it is also associated with several complications. Few studies have examined the 30-day readmission rates after triple arthrodesis. Read More

Foot Ankle Int 2019 Jan 13;40(1):42-47. Epub 2018 Oct 13.

1 Kantonsspital Baselland, Liestal, Switzerland.

Background:: A challenge in treating acquired flatfoot deformities is the collapse of the medial arch at the level of the naviculocuneiform (NC) joint. Triple fusions, being a treatment option, may lead to problems such as increased foot stiffness. We thus established a method that combines subtalar (ST) fusion with NC fusion while preserving the Chopart joint. Read More

J Foot Ankle Surg 2019 Jan 10;58(1):2-5. Epub 2018 Oct 10.

Attending Physician, Kaiser Permanente San Leandro, San Leandro, CA.

Foot and ankle surgeons continue to explore bone graft alternatives that will be comparable to the reference standard of autologous bone. The purpose of the present study was to consider the outcomes of hindfoot arthrodesis supplemented with bioactive glass in patients at risk of delayed union and nonunion. We performed a retrospective radiographic review of 29 consecutive patients (48 joints) who had undergone arthrodesis of ≥1 joint of the hindfoot (ankle, subtalar, talonavicular, calcaneocuboid). Read More

Foot Ankle Spec 2019 Aug 4;12(4):336-344. Epub 2018 Oct 4.

University of Alabama School of Medicine, Birmingham, Alabama (AS Moon, AS McGee, HAP, RC, SN, AS).

Hindfoot fusion procedures are increasingly being performed in the outpatient setting. However, the cost savings of these procedures compared with the risks and benefits has not been clearly investigated. The objective of this study was to compare patient characteristics, costs, and short-term complications between inpatient and outpatient procedures. Read More

Ann Thorac Surg 2019 03 25;107(3):e191-e193. Epub 2018 Sep 25.

Orthopedic Surgery, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.

A young woman displayed a dural tear during thoracic spine surgery. The corpectomy was by anterior approach, after thoracotomy. The dural defect was plastered by a fatty flap and a pleural layer. Read More

J Foot Ankle Surg 2018 Nov - Dec;57(6):1154-1156. Epub 2018 Sep 22.

Biostatistician, Division of Research, Kaiser Permanente Northern California, Oakland, CA.

The contemporary literature is unclear regarding the joint that is most "at risk" to yield a nonunion in the performance of triple arthrodesis of the foot. There is also a debate regarding the best methods of joint preparation. A retrospective radiographic review was conducted of all primary triple arthrodeses performed within in a Northern California health maintenance organization between January 2007 and June 2013. Read More

Foot Ankle Clin 2018 Sep;23(3):451-460

Trauma and Orthopaedic Department, Aintree University Hospital, Liverpool University, Liverpool, UK. Electronic address:

Surgical access to the subtalar joint is required in a plethora of pathologic conditions of the hindfoot. The conventional lateral approach can give excellent access to subtalar joint; however, in hindfoot valgus deformities, there can be unacceptable risks of wound problems and incomplete deformity corrections. The medial approach offers good access to the subtalar joint with an increasing evidence base for its use, especially with double fusions in pes planus deformities. Read More

Arch Orthop Trauma Surg 2018 Aug 9;138(8):1037-1043. Epub 2018 Apr 9.

Olgahospital Stuttgart, Kriegsbergstrasse 62, 70174, Stuttgart, Germany.

Introduction: Flatfoot is a severe complication of extensive clubfoot surgery. In this retrospective study, we evaluated our results following flatfoot surgery in overcorrected clubfeet. The aim was to analyze the success of different surgical techniques, including tarsal osteotomies and arthrodesis, in correcting different types of flatfeet. Read More

Int Orthop 2018 06 17;42(6):1297-1306. Epub 2018 Feb 17.

Mittal Ortho Centre, 97, New Lal Bagh Colony, Patiala, Punjab, 147001, India.

Aim/purpose: Extreme congenital club foot deformities are common in developing countries, presenting at birth, persisting in children, adolescents and adults; as untreated/under-corrected by conservative and/or surgical means. Scores of confusing names exist in literature for such deformities with no good treatment available; mostly advocating unacceptable arthrodesis. The author researched this grey area for more than 40 years and successfully innovated improved surgical corrections, more acceptable to patients. Read More

Foot Ankle Surg 2018 Oct 23;24(5):417-422. Epub 2017 Apr 23.

Royal Cornwall Hospitals NHS Trust, Treliske, Cornwall, UK.

Background: Subtalar arthrodesis through an open approach carries significant risk of complications. An arthroscopic approach aims to minimise damage to the soft tissue envelope to improve recovery, union and complication rates. A two portal approach through the sinus tarsi was used. Read More

Foot Ankle Surg 2019 Apr 29;25(2):247-250. Epub 2017 Nov 29.

Department of Orthopedic Surgery, Sint Maartenskliniek, Nijmegen, The Netherlands. Electronic address:

Background: Pain, deformity and instability are the main reasons for fusion of the tarsal joints, a triple arthrodesis. The short and midterm results show that mobility, function and satisfaction increase postoperatively. However, osteoarthritis (OA) of the adjacent ankle joint is described as a long-term complication. Read More

Physiother Theory Pract 2018 May 8;34(5):403-410. Epub 2018 Jan 8.

b Department of Physical Therapy , Western Michigan University , Kalamazoo , MI.

Background And Purpose: Qualitative analysis has its limitations as the speed of human movement often occurs more quickly than can be comprehended. Digital video allows for frame-by-frame analysis, and therefore likely more effective interventions for gait dysfunction. Although the use of digital video outside laboratory settings, just a decade ago, was challenging due to cost and time constraints, rapid use of smartphones and software applications has made this technology much more practical for clinical usage. Read More

Vestn Ross Akad Med Nauk 2017 ;72(1):53-8

This paper presents a comprehensive review on the current concept of the diagnosis and treatment of central metatarsalgia on the basis of medical literature analyses. Metatarsalgia is the term for pain in the forefoot. This is a set of symptoms corresponding to a wide range of diseases. Read More

J Foot Ankle Surg 2018 Mar - Apr;57(2):364-369. Epub 2017 Dec 15.

Fellowship Co-Director, Fellowship-Trained Foot and Ankle Surgeon, Foot and Ankle Center, Westerville, OH. Electronic address:

The triple arthrodesis procedure remains the historical standard to treat complex hindfoot pathology. However, in recent data, the medial double arthrodesis has been documented to provide similar benefit with decreased complication rates compared with the triple arthrodesis. Therefore, increased interest in this procedure for the treatment of complex hindfoot pathologies has ensued. Read More

J Craniofac Surg 2018 Jan;29(1):e80-e83

Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic.

Orthopedic complications of intravenous (IV) infiltration are rare, with only a handful of cases reported in the literature. Because of the relatively high rate of IV infiltration in neonates, however, such complications do occur and can include growth arrest, limb length discrepancy, and joint deformities that require surgical intervention. The risk of these complications is highest in preterm neonates. Read More

Oper Orthop Traumatol 2017 Dec 25;29(6):473-482. Epub 2017 Oct 25.

Zentrum für Fuß- und Sprunggelenkchirurgie, Schön Klinik München Harlaching, Harlachinger Straße 51, 81547, München, Deutschland.

Cavovarus deformities in children and adolescents require sound considerations concerning the timing for corrective surgery. Progression can be recognized best by repeated pedographic examination with evaluation of the typical features of cavovarus deformity. Surgical correction consists of a combination of soft tissue release, bony realignment, and restoration of muscle balance. Read More

Oper Orthop Traumatol 2017 Dec 20;29(6):461-472. Epub 2017 Oct 20.

Klinik für Orthopädie und Traumatologie des Bewegungsapparates, Kantonsspital Baselland, Liestal, Schweiz.

Objective: The aim is to correct the underlying cavovarus deformity and to achieve a pain-free and stable hindfoot.

Indications: Rigid neurologic, posttraumatic, congenital, and idiopathic cavovarus deformities.

Contraindications: General surgical or anesthesiological risks, infections, critical soft tissue conditions, neurovascular impairment of the lower extremity, noncompliance, patients with severely reduced bone quality, insulin-dependent diabetes mellitus, smoking. Read More

Foot Ankle Clin 2017 Sep 3;22(3):625-636. Epub 2017 Jun 3.

Twin Cities Orthopedics, 4010 West 65th Street, Edina, MN 55435, USA. Electronic address:

Malunion remains a common complication after triple arthrodesis, with rates as high as 6% in the reported literature. Careful patient evaluation is critical to determine the location and degree of bony deformity. A stepwise systematic approach to correct hindfoot and midfoot deformity is presented in this article. Read More

Foot Ankle Clin 2017 Sep 3;22(3):613-624. Epub 2017 Jun 3.

Department of Orthopaedic Surgery, University of Colorado School of Medicine, 12631 East 17th Avenue, Room 4508, Aurora, CO 80045, USA.

In symptomatic patients, undercorrection of a flatfoot deformity can lead to the need for revision surgery to restore functional mechanics and prevent progression of deformity. The underlying cause of undercorrection is failure to fully recognize or understand the extent of the deformity. This article discusses the typical deformities in adult flatfoot and indications for surgical intervention. Read More

Foot Ankle Clin 2017 Sep 2;22(3):503-514. Epub 2017 Jun 2.

Institute of Foot and Ankle Reconstruction, 301 St. Paul Place, Baltimore, MD 21202, USA.

Deltoid ligament reconstruction allows for joint preservation of the ankle in the setting of patients a triple arthrodesis due to a flat foot deformity. Although the increased forces that may occur in the ankle joint after a triple arthrodesis cannot be eliminated, reconstruction of the ligament will delay and may prevent the onset arthritis, allowing the patient to maintain mobility of the ankle joint. The anatomy, surgery, and risks and benefits are discussed. Read More

Bone Joint J 2017 Aug;99-B(8):1080-1087

Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF, UK.

Aims: We present the results of correcting a double or triple curve adolescent idiopathic scoliosis using a convex segmental pedicle screw technique.

Patients And Methods: We reviewed 191 patients with a mean age at surgery of 15 years (11 to 23.3). Read More

Arthrosc Tech 2017 Jun 26;6(3):e871-e877. Epub 2017 Jun 26.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.

Triple arthrodesis has a significant role in the management of hindfoot osteoarthritis and deformity. Traditionally, it is an open procedure with extensive soft tissue dissection. Arthroscopic triple arthrodesis would appear to provide good visualization and preparation of the fusion surfaces while preserving the soft tissue envelope. Read More

J Foot Ankle Surg 2017 Jul - Aug;56(4):805-812

Professor and Chair, Department of Orthopaedic Surgery, Sports Medicine and Rehabilitation, Boonshoft School of Medicine, Wright State University, Dayton, OH.

Delayed identification of patients requiring admission to extended care facilities (ECFs) can lead to greater healthcare costs through an increased length of hospital stay (LOHS). Previous studies of hip and knee arthroplasty identified factors associated with a likely discharge to an ECF. These issues have not been extensively studied for major hindfoot procedures. Read More

Clin Podiatr Med Surg 2017 Jul 8;34(3):339-346. Epub 2017 Apr 8.

Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA.

Triple (talonavicular, subtalar, and calcaneocuboid) joint arthrodesis and most recently double (talonavicular and subtalar) joint arthrodesis have been well proposed in the literature for surgical repair of the elective, posttraumatic, and/or neuropathic hindfoot deformities. The articulation of the hindfoot with the ankle and midfoot is multiaxial, and arthrodesis of these joints can significantly alter the lower extremity biomechanical manifestations by providing anatomic correction and alignment. This article reviews the indications and preoperative planning for some of the most common procedures to address the hindfoot deformity. Read More

J Foot Ankle Surg 2017 Mar - Apr;56(2):255-257

Consultant, Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, New Territories, Hong Kong Special Administrative Region, China. Electronic address:

Lateral heel pain after triple arthrodesis can have numerous causes, including nonunion of the fusion site, hindfoot malalignment, degenerative arthritis in adjacent joints, and deep infection. We present a case of lateral heel pain after triple arthrodesis due to synovitis of the tarsal canal that was successfully treated with anterior subtalar arthroscopy. Read More