Minimally invasive techniques for forefoot surgery, including the minimally invasive chevron-Akin (MICA) and distal minimally invasive metatarsal osteotomy (DMMO), have demonstrated favourable outcomes in the treatment of hallux valgus and central metatarsalgia, respectively. Combining these 2 procedures in a single surgical session aims to address multiple deformities concurrently, although potential biomechanical interactions may affect long-term stability. This study investigates the clinical and radiographic outcomes of patients undergoing simultaneous MICA and DMMO, with a focus on hallux valgus recurrence.

Achilles tendon repairs and reconstructions have historically been associated with high infection rates because of poor vascularity. However, newer surgical infection control strategies can reduce morbidity associated with infection. We hypothesized that with appropriate treatment and management of these infections, patients can reach high levels of physical function with minimal pain comparable to those without postoperative infection.

Is first metatarsophalangeal joint replacement a viable alternative to arthrodesis for the treatment of end-stage hallux rigidus? There are few studies evaluating the medium- to long-term outcomes of the Roto-Glide prosthesis.

Although non-tobacco nicotine products, such as e-cigarettes and vapes, are marketed as safer alternatives to traditional tobacco, limited data compare their perioperative risks. This study evaluates the impact of tobacco nicotine dependence (TND) vs non-tobacco nicotine dependence (NTND) on outcomes following ankle fracture open reduction internal fixation (ORIF).

Accurate, reproducible assessment of hallux valgus is essential, yet conventional radiographs provide limited 3-dimensional information about sesamoid alignment. In this study we calculate the accuracy and repeatability of the 3D imaging derived metatarso-sesamoid offset (MSO), and metatarso-sesamoid index (MSI), and compare it to the Clapham-Hardy classification in patients with hallux valgus (HV) vs controls. Our secondary purpose was to assess correlation of the MSO and MSI with commonly used existing measurements in patients with HV vs controls, and to determine their relevance and baseline values.

We aimed to evaluate the efficacy of a prefabricated inflatable ankle orthotic brace (IAOB) to improve the 3-dimensional (3D) foot alignment of patients with progressive collapsing foot deformity (PCFD) using weightbearing computed tomography (WBCT).

To our knowledge, no study is available comparing the change in ankle mechanics during gait after total ankle arthroplasty (TAA) based on the origin of the osteoarthritis. As the nature of trauma is different in patients sustaining post-fracture ankle osteoarthritis (PFOA) from those sustaining post-sprain ankle osteoarthritis (PSOA), it could be expected that the outcomes of TAA, in terms of ankle mechanics during gait, would be different in the 2 groups. A prospective matched comparative study was therefore performed to investigate whether patients sustaining PFOA had different outcomes in terms of changes to ankle mechanics during gait (before surgery vs 1 year after surgery), compared with patients sustaining PSOA.

The Infinity with Adaptis Total Ankle System (Stryker, Mahwah, NJ) is a low-profile, fixed-bearing implant that became available for use in October 2019. The aim of this study was to describe the early clinical and radiographic outcomes of the Infinity with Adaptis implant at minimum 2-year follow-up.

Tobacco use is known to have adverse outcomes in ankle open reduction and internal fixation (ORIF). Non-tobacco nicotine dependence (NTND), driven by the rising popularity of e-cigarettes and alternative nicotine products, is increasingly prevalent, but its relationship with ankle ORIF is unknown. This study evaluated the association of NTND on perioperative and long-term outcomes following ankle ORIF.

The combined latent syndesmotic diastasis (LSD) leads to longer rehabilitation time and poor outcomes for ankle sprains or chronic lateral ankle instability (CLAI) cases. Identifying LSD by imaging is challenging, especially for plain radiographs. This study aimed to determine the osseous ankle characteristics of CLAI combined with LSD on anteroposterior (AP) radiographs, as well as to provide a potential approach to detecting concomitant LSD.

Gastrocnemius tightness contributes to various foot and ankle pathologies. Although both proximal medial gastrocnemius release (PMGR) and the Strayer procedure (SP) are widely used, comparative data on their biomechanical effects are limited, particularly within the same specimen. This study aimed to compare dorsiflexion (DF) increase between PMGR and SP using a side-to-side cadaveric model.

With the widespread legalization and rising prevalence of cannabis use, understanding its impact on perioperative outcomes has become clinically critical. Although recent orthopaedic research has examined cannabis-related risks following various procedures, its implications following surgical fixation of ankle fractures remain unexplored. Given the increasing incidence and complexity of ankle fractures, clarifying these risks is essential for effective perioperative management and patient counseling.

There continues to be controversy regarding the optimal fixation strategy of large posterior malleolar fractures while treating trimalleolar ankle fractures. This study compared the biomechanical stability in a cadaveric model of a modified anterior-posterior (AP) 4-screw construct vs posterior plate fixation of Mason 2A posterior malleolar fractures.