Chronic Lateral Ankle Instability Repair Technique Using All-Inside and All-Knotless Soft-Tissue Anchors.

Chronic lateral ankle instability (CLAI) is common in sports. Whereas traditional open Broström-Gould surgery remains the gold standard for anterior talofibular ligament repair, advances in arthroscopic techniques with knotless suture anchors offer promising alternatives, reducing recovery time and complications. This article presents a minimally invasive arthroscopic technique for anterior talofibular ligament reconstruction with knotless anchors, reattaching the ligament to the fibula and minimizing risks of knot irritation and impingement.

Isolated syndesmotic injury: treatment with suture button system-retrospective cohort study.

Background: Ankle injuries, often involving the syndesmotic complex, are common and may lead to acute instability. The syndesmosis, comprising several key ligaments, provides critical support for ankle function. This study assesses the efficacy and safety of the suture button system for isolated syndesmotic injuries, a treatment method that is gaining popularity over traditional transsyndesmotic screws.

Operative Treatment of Nonprimary Osteochondral Lesions of the Talus: A Systematic Review.

Background: Nonprimary osteochondral lesions of the talus (OLT) pose a significant challenge in orthopaedics, with no definitive consensus on optimal surgical treatment.

Purpose: To consolidate the most recent evidence on operative treatments for nonprimary OLT by assessing patient-reported outcomes (PROs), postoperative complications, and clinical failures.

Study Design: Systematic review; Level of evidence, 4.

A False Step in a Ballerina: A Rare Case of Osteonecrosis of Subhallucal Sesamoid Bone.

Subhallucal interphalangeal osteonecrosis is an uncommon cause of forefoot pain, and a rarely reported clinical entity, being often overlooked. Imaging, particularly computed tomography (CT) scan and magnetic resonance imaging (MRI) have an essential role in early and differential diagnosis and guiding for appropriate therapy. The first approach should be conservative, and surgical treatment should be considered when it proves ineffective.

Recurrent Medial Malleolar Stress Fracture: A Case Report and Discussion of Risk Factors.

Stress fractures of the medial malleolus are uncommon and considered high-risk due to potential complications such as progression to complete fracture, delayed union, nonunion, and chronic pain. Identified risk factors include varus alignment of the lower limb, chronic anteromedial impingement, excessive pronation/supination, broad talar neck, and ankle instability. To our knowledge, no reports of recurrence after surgical treatment have been reported.

Missed Tillaux Fracture and Syndesmosis Injury in Adult: Arthroscopic Assisted Reduction and Fixation.

Tillaux fractures are fractures of the lateral margin of the distal tibia, usually reported in children between 12 and 14 years old. As intraarticular fractures, they require anatomic reduction and fixation to avoid posttraumatic complications. Since the injury mechanism is external rotation of the foot on the leg, these injuries are commonly associated with other fractures or ligamentous lesions.

The calcaneofibular ligament has distinct anatomic morphological variants: an anatomical cadaveric study.

Purpose: The purpose of this study was to investigate if the calcaneofibular ligament (CFL) presents morphologic variants and measure the morphometrics of the ligament and its footprints METHODS: An anatomical study of 47 fresh-frozen below-the-knee ankle specimens was performed. Lateral ankle structures were dissected to expose the CFL. Overdissection was avoided to not modify the native morphology.

The distance from the peroneal tendons sheath to the sural nerve at the posterior tip of the fibula decreases from proximal to distal.

Purpose: The aim of this study is to compare the distance from the peroneal tendons sheath to the sural nerve in different points proximally and distally to the tip of the fibula.

Methods: Ten fresh-frozen lower extremities were dissected to expose the nerves and tendons. Having the posterior tip of the fibula as a reference, the distance between the tendons sheath and the sural nerve was measured in each point with a tachometer with three independent different observers.

Percutaneous Osteotomies in Hallux Valgus: A Systematic Review.

Percutaneous and minimally invasive surgery is one of the greatest advances in the operating field of orthopedic since the late 1990s. The potential advantages include a shorter operative time, quicker recovery, and reduced hospital stay compared with traditional open surgery. However, scientific validation of the safety and efficacy of hallux valgus (HV) percutaneous surgery remains inconclusive.

Bony landmarks available for minimally invasive lateral ankle stabilization surgery: a cadaveric anatomical study.

Purpose: The purpose of this study was to determine the clinical utility of three bony tubercles: fibular obscure tubercle, talar obscure tubercle and tuberculum ligamenti calcaneofibularis, to serve as anatomical landmarks for defining the precise location of the origins and insertions of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL).

Methods: Twelve lower extremity cadaveric specimens were procured. The detectability of the tubercles was tested using palpation and fluoroscopy with subsequent confirmation after dissection.

Long-term Follow-up of Dorsal Wedge Osteotomy for Pediatric Freiberg Disease.

Background: Treatment for Freiberg disease has been largely conservative despite availability of various operative options for severe or refractory cases. The aim of this study was to evaluate the long-term results of pediatric patients with symptomatic Freiberg disease treated with intra-articular dorsal wedge osteotomy.

Methods: Pediatric patients treated for Freiberg disease with surgery between January 1982 and 1999 were identified and selected for long-term clinical evaluation.