ABSTRACT
Postoperative complications can be burdensome on both the patient and the surgeon. Attention in literature is often directed toward different forms of treatment and successful outcomes in surgery. The incentive of this article is to bring insight toward postoperative complications in rearfoot surgery, more specifically, the repair of the Achilles tendon with suture tape and suture anchors. This article directs attention to the recent reports on hypersensitivity reactions seen with the use of suture tape and nonabsorbable suture anchors and may encourage physicians to make patients aware of this potential complication when using these materials.
Subject(s)
Achilles Tendon/surgery , Postoperative Complications , Achilles Tendon/injuries , Aged , Foreign-Body Reaction/etiology , Foreign-Body Reaction/surgery , Humans , Hypersensitivity/etiology , Hypersensitivity/surgery , Male , Middle Aged , Rupture, Spontaneous , Surgical Tape/adverse effects , Surgical Wound Infection/etiology , Surgical Wound Infection/prevention & control , Suture Anchors/adverse effects , Tendinopathy/etiology , Tendinopathy/prevention & control , Venous Thrombosis/etiology , Venous Thrombosis/prevention & controlABSTRACT
Nonunion of the tarsometatarsal arthrodesis site is a challenging revision surgery. Trephine technique provides an excellent option for revision tarsometatarsal joint arthrodesis. The authors have found the trephine approach to be the procedure of choice in correction of a nonunion. When the trephine approach is indicated, it offers many advantages including minimal soft tissue dissection, quicker joint preparation, and the minimal shortening of the arthrodesis site. This article describes in detail the autologous graft trephine technique for revision surgery of a tarsometatarsal nonunion. Examples of fixation options are also discussed.
Subject(s)
Arthrodesis/methods , Foot Joints/surgery , Fractures, Ununited/surgery , Female , Humans , Metatarsal Bones/surgery , Middle Aged , ReoperationABSTRACT
"Lapidus arthrodesis is becoming more of a common procedure for treatment of hallux valgus deformities. Like other procedures, complications are possible. The common complications associated with Lapidus arthrodesis procedures include nonunion and malunion. Malunion is typically broken down into recurrence, elevated first ray, shortened first ray, or plantarflexed first ray. This article discusses these common complications after Lapidus arthrodesis.
Subject(s)
Arthrodesis/adverse effects , Bone Malalignment/surgery , Bunion/surgery , Hallux Valgus/surgery , Postoperative Complications/surgery , Arthrodesis/methods , Bone Malalignment/diagnostic imaging , Bone Malalignment/etiology , Bunion/diagnostic imaging , Hallux Valgus/diagnostic imaging , Humans , Postoperative Complications/diagnostic imaging , Postoperative Complications/etiologyABSTRACT
Early avascular necrosis of metatarsal heads and cuboid injuries are uncommon conditions encountered by foot and ankle specialists. Treatment options are limited and typically include long periods of offloading or non-weightbearing. There is limited published information on alternative treatment approaches for such pathologies when conservative therapies fail. Presented are 2 patient cases treated with a percutaneous calcium phosphate injection after failure of standard therapy, persistent pain, and bone marrow edema in the foot.
Subject(s)
Calcium Phosphates/therapeutic use , Fractures, Stress/therapy , Metatarsal Bones , Osteonecrosis/therapy , Tarsal Bones/injuries , Adult , Female , Fractures, Stress/complications , Fractures, Stress/diagnostic imaging , Humans , Male , Middle Aged , Osteonecrosis/complications , Osteonecrosis/diagnostic imagingABSTRACT
In recent years, arthroscopic procedures of the foot and ankle have seen a significant increase in both indications and popularity. Furthermore, technological advances in video quality, fluid management, and other arthroscopy-specific instruments continue to make arthroscopic procedures more effective with reproducible outcomes. As surgeons continue to use this approach, it is important that they have a complete understanding of the instrumentation available to them, including their indications and limitations.
