Ankle arthrodesis as a salvage procedure in case of secondary ankle arthritis using Charnley’s compression device (In Final Editing)
by Narayana Gowda BS, Mohan Kumar J.

Abstract: Ankle arthrodesis is considered by many to be the standard operative treatment for end stage ankle arthritis. The purpose of this study was to perform a clinical and radiographic review to determine functional outcome for a group of patients in whom an ankle arthrodesis had been performed using Charnley’s compression device. A functional assessment of fifteen patients after ankle arthrodesis for post traumatic arthritis was carried out by means of an extensive clinical evaluation after an average follow up of 2 years 8 months.

Percutaneous First Metatarsocuneiform Joint Arthrodesis as the Way of a Treatment of Severe Forefoot Deformity Recurrence Complicated by an Infected Wound ( Editing)
by Sergey Berezhnoy, MD, PhD

Abstract: An example of the surgical treatment of a severe forefoot deformity recurrence complicated by an infected wound using percutaneous first metatarsocuneiform joint arthrodesis is introduced. Surgical technique is presented. The Arthrodesis fused by 3 months postoperatively. The conclusion is made about possibility of using the proposed technique in selected cases of severe metatarsus primus varus, first ray hypermobility, previous surgeries failures and infected diabetic ulcers in advanced bunion deformity.

Malignant Fibrous Histiocytoma of the Ankle: A Case Report (Received)
by Katherine Neiderer, DPM,MPH

Abstract: Malignant fibrous histiocytomas are a rare soft tissue sarcoma that present as indolent tumors in adults. Treatment consists of wide surgical excision. Local recurrence and metastasis is common and patients must be followed for such. We describe the case of a 49 year old male that presented with a painless “lump” on the front of his ankle. Magnetic resonance imaging showed a 2.6 x 3.5 x 4.3 cm lesion that displayed high intensity on the T2 weighted image. The mass partially encased the tibialis anterior tendon along the medial aspect without invading the body of the tendon. The radiologist suspected a possible malignant neoplasm including synovial sarcoma or giant cell tumor of the tendon sheath. The patient underwent wide excision of the lesion and pathology diagnosed it as malignant fibrous histiocytoma at the anterior ankle. The patient underwent limb sparing surgery without adjuvant chemotherapy and after 2 years of follow-up he has had no recurrence or metastasis.

Subtalar arthroereisis with endorthesis in adult-acquired flatfoot: Classification of the postoperative rehabilitation phases (Received) 
by Massimiliano Polastri, MSc, PT, Alessandro Graziani, MSc, PT, Stefano Cantagalli, MD

Abstract: Flatfoot is a biomechanical condition in which the medial longitudinal arch collapses, causing flattening of the foot towards the ground. In adult-acquired flatfoot, the subtalar joint has a greater range of motion than a normal foot, and multiple factors can cause the onset of this condition. Subtalar arthroereisis with endorthesis is a surgical procedure by which an implant is positioned in the sinus tarsi depression in order to limit the excessive pronation of the subtalar joint. Subtalar arthroereisis is often associated with adjunctive procedures. A period of three weeks of non-weight bearing is recommended after surgery and additional protection is achieved as the load is increased. In order to be able to discuss the postoperative course, it is useful to be able to classify it. Basically, the classification proposed in this paper is a practical/theoretical instrument which seeks to contribute to a better understanding and achievement of the aims and outcome desired at each stage described. Postoperative rehabilitation must be oriented to both protect the surgical site and to enhance foot mobility. We have proposed a classification of the rehabilitative pathway after subtalar arthroereisis with endorthesis based on our experience, also considering the related literature. Furthermore, we provide a synthetic description of the surgery, and the rehabilitation techniques are discussed. The ultimate goal of the rehabilitation project is centered on obtaining the physical condition closest to that required for the daily activity of the healthy population with the aim of returning to full recovery after surgery. To this end, a certain degree of multiprofessional cooperation is always recommended in order to ensure patient safety and obtain the best results.