Total ankle arthroplasty (TAA) and ankle arthrodesis (AAD) are the established surgical options for end-stage ankle arthritis. Although TAA preserve ankle motion, AAD has been the gold standard for several decades.

Talocalcaneal (TC) coalition is an abnormal connection between the talus and calcaneus, causing painful, restricted subtalar motion, recurrent ankle sprains, and rigid flatfoot. The purpose of this study was to compare 3D-navigation to traditional open techniques in resection of TC coalitions.

Despite open reduction internal fixation (ORIF) and percutaneous fixation being commonly used for the treatment of metatarsal fractures, the relative complication profiles are unclear.

Isolated distal fibular fractures can often be successfully treated without surgery. Fracture stability is largely dependent on an intact deep deltoid ligament, yet methods of determining ligament integrity remain a clinical challenge. Recently, fibular fracture displacement on radiographs has been used to predict deep deltoid disruption.

When performing arthrodesis of the first metatarsophalangeal joint (MTPJ), reported fixation options have been vast with high success rates and a low complication profile. Immediate postoperative weightbearing status typically varies by surgeon irrespective of fixation construct.

Sinus tarsi syndrome is a clinical condition characterized by diffuse lateral foot pain, with underlying causes that remain incompletely understood. Radiographic parameters reflecting sagittal foot morphology and load distribution may be related to this condition.

Surgical site infections are estimated to occur in 1.4% - 5.5% of all patients who undergo ankle fracture open reduction with internal fixation.

Bone morphological change intramedullary screw fixation, characterized by gap widening at the plantar side of the fifth metatarsal shaft, is considered a factor contributing to delayed union and pseudoarthrosis. However, the reduction in bowing of the fifth metatarsal, which occurs alongside the plantar gap, has not been reported. A reduction in bowing height, concurrent with plantar gap widening, may protect against refracture.

The choice between limb salvage with the controversial midfoot amputation or below-knee amputation (BKA) is largely subjective.

Hallux valgus (HV) is a complex triplanar deformity.

Open arthrodesis remains the gold standard for management of end stage subtalar joint arthritis. Rate of isolated subtalar fusion complicated by nonunion has been documented between 4-22.8 %. However, little is known about success of subtalar joint fusion when performed underneath a previously constructed ankle arthrodesis. The aim of this systematic review was to assess the cases of nonunion in patients who underwent a subtalar joint fusion with documented history of previous ipsilateral ankle fusion. A broad literature search was performed through PubMed, Google Scholar, and Cochrane Database using the following search terms: "Time to fusion, ankle fusion complication, outcomes ankle fusion." Meta-regression was performed to assess the effects of study sample size and publication year on the non-union rate. Three studies met inclusion and exclusion criteria. The non-union rates of subtalar joint arthrodesis following ankle fusion in the included studies ranged from 20 % to 55.6 %. The pooled rate was 38 % (95 % CI: 18.2 % to 59.8 %). Our series included a larger number of cases, allowing statistical analysis that clearly demonstrated a markedly lower subtalar fusion rate in patients with previous ipsilateral ankle fusion when compared to what has been documented in the literature.

Surgical stabilization is crucial for managing syndesmosis injuries following ankle trauma. While syndesmosis screws provide anatomical stability, they are associated with issues such as potential loosening or the need for removal. Screw breakage, although frequently reported, may not represent a true complication in asymptomatic patients. The suture-button technique aims to preserve physiological mobility and enhance functional outcomes.

Total ankle arthroplasty and arthrodesis utilization has significantly increased in recent years with limited current studies examining physician reimbursement rates.

Fracture healing remains a complex and multifactorial biological process, influenced by mechanical stability, vascular supply, and biological environment. The aim of this study was to assess whether statistically significant prognostic differences in fracture healing exist between ORIF and MIPO after teriparatide therapy, using the RUST scores.

Open ankle fractures can pose a threat to life in the geriatric population, aged 65 years and older. These patients are susceptible to postoperative complications, often related to poor bone mineral density and soft tissue quality. While the mortality rate associated with open ankle fractures in the elderly has been explored, there is a lack of studies addressing mortality outcomes beyond one year. Furthermore, there is an absence of comparison to the general population. Without that comparison, it is difficult to determine whether open ankle fractures are independently associated with an increased mortality risk.

Malnutrition is a very critical health problem, especially among developing countries. It is considered one of the major risk factors for diseases and mortality in children. Clubfoot or congenital talipes equinovarus (CTEV) is the most common form of congenital orthopedic abnormality, and the Ponseti method has become the gold standard of treatment for clubfoot over the last two decades. This research study aimed at identifying the malnutrition prevalence in clubfoot patients and its relation with the Ponseti technique's outcome for the patients coming to the Orthopedic Clinic of a tertiary care hospital in Karachi, Pakistan. We further attempted to investigate the relationship of the clinical tests between CBC, serum albumin level, serum electrolytes, and nutritional status.

Hallux valgus is a multiplanar deformity often involving first metatarsal pronation. Weightbearing computed tomography may improve assessment compared to standard radiographs, which are limited to two-dimensional views.

Total ankle replacement continues to find significantly increased utilization as the technology advances. While there are different systems on the market, most are implanted through an anterior incisional approach just lateral to the tibialis anterior tendon. This incision is prone to decreased wound healing, increased time to healing, and postoperative dehiscence and infection risk. When patient comorbid medical conditions are taken into consideration as well, the chance of complications increases significantly. To date, multiple articles have been published discussing how to decrease complication rate associated with this higher risk incision, such as different suturing patterns, utilization of a postoperative drain, and incisional wound vac application (iNPWT).

There is limited evidence investigating the use of memory staples for first metatarsophalangeal joint (MTPJ) arthrodesis. This study reports the midterm clinical and functional outcomes of patients who underwent the procedure.