Journal of Foot and Ankle Surgery (Asia Pacific)

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2019 | July-December | Volume 6 | Issue 2

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Sharad Prabhakar


[Year:2019] [Month:July-December] [Volume:6] [Number:2] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/jfas(ap)-6-2-iv  |  Open Access |  How to cite  | 



Mohammad A Hegazy, Hossam M Khairy, Sherif M El-Aidy

Role of Talectomy in Severe Resistant Clubfoot in Children

[Year:2019] [Month:July-December] [Volume:6] [Number:2] [Pages:10] [Pages No:29 - 38]

Keywords: Children, Foot, Talectomy, Talipes equinovarus, Talus

   DOI: 10.5005/jp-journals-10040-1105  |  Open Access |  How to cite  | 


Despite of the global attention paid to talectomy in management of severe, rigid, and resistant deformities of clubfoot, no evaluation of this procedure has been done before in our institution. The aim of work was to evaluate the outcome of surgical removal of talus in these patients. Seventeen severe, rigid, and resistant clubfeet in 10 patients undergoing talectomy were evaluated pre- and postoperative at the Department of Orthopedic Surgery, Zagazig University hospitals, Al-Sharkia, Egypt. The collected data were statistically analyzed. Out of the 10 investigated cases, there were seven males and three females. Seven (70%) cases were bilaterally affected; only three (30%) were one-sided affected. They were one left-sided in two cases and the other was right-sided. Their age ranged 1–5 years with a mean of 30.2 ± 13.3 months. There were good results in 11 (65%) cases out of the 17 operated. Fair results were found in 6 (35%) cases. Three from the 6 feet with fair results following talectomy showed residual cavus; and the others were noticed with residual hindfoot varus with slight inversion and adduction of the forefoot. All cases were with stable and plantigrade foot. In general, patients of both good and fair results were being able to wear shoes and to walk independently with pain free movements. Talectomy could be considered as a single salvage procedure for cases of clubfoot suffering from rigid, resistant and severe deformities. It is a safe procedure with no major complications; and gives satisfactory results.



Karan Jindal, Prasoon Kumar

Photobiomodulation a Promising Therapeutic Modality in Plantar Fasciitis

[Year:2019] [Month:July-December] [Volume:6] [Number:2] [Pages:2] [Pages No:39 - 40]

Keywords: Foot, Pain, Photobiomodulation therapy, Plantar fasciitis

   DOI: 10.5005/jp-journals-10040-1108  |  Open Access |  How to cite  | 


Plantar fascia is inflammation of the connective tissues in the foot, a common cause of heel pain in adults. The currently available treatment protocol may require 6–12 months of therapy to get an individual to pain-free. Photobiomodulation (PBM) a type of laser therapy, which elicits biological changes in tissues resulting in beneficial therapeutic effects. Evidence supports the use of PBM for the degenerative conditions like tendinopathy and epicondylitis, osteoarthritis, peripheral nerve degeneration. Similarly, the use of PBM in plantar fasciitis (PF) shows a promising result.



Hector Masaragian, Ezequiel Luege, Fernando Perin, Hernan Coria, Luciano Mizdraji, Juan M Santos, Leonel Rega, Nicolas Ameriso

Traumatic Dislocation of the Posterior Tibial Tendon: A Case Report and Review of the Literature

[Year:2019] [Month:July-December] [Volume:6] [Number:2] [Pages:5] [Pages No:41 - 45]

Keywords: Case report, Dislocation, Posterior tibial tendon, Traumatic

   DOI: 10.5005/jp-journals-10040-1106  |  Open Access |  How to cite  | 


Background: Traumatic dislocation of the posterior tibial tendon (PTT) is a highly unusual pathology. Diagnosis is based on suspicion and clinical examination. Case description: A 35-year-old male patient suffered a car accident and presented swelling, pain, and instability in the medial side of the right ankle and ecchymosis, on the affected side, associated with deltoid ligament injury. The mechanisms of the injury have not been completely defined but, in most cases, it has been associated with forced dorsiflexion and inversion of the ankle. He was surgically treated 2 weeks after the procedure. Conclusion: Surgical treatment is mandatory. The goal is to relocate the tendon in its normal anatomical position and recreate a competent flexor retinaculum. Clinical significance: We present an unusual case report with good clinical results after surgical treatment and a surgical tip not described before.



Hector Masaragian, Leonel Rega, Nicolas Ameriso, Fernando Perin, Hernan Coria, Luciano Mizdraji, Sabrina Cicarella

Distal Ischemia of the Four Limbs: A Case Report and Literature Review

[Year:2019] [Month:July-December] [Volume:6] [Number:2] [Pages:6] [Pages No:46 - 51]

Keywords: Bone infarction, Distal ischemia, Norepinephrine, Sepsis, Symmetrical peripheral gangrene

   DOI: 10.5005/jp-journals-10040-1107  |  Open Access |  How to cite  | 


The symmetrical peripheral gangrene syndrome is characterized by ischemic distal lesions in two or more extremities, without the obstruction of large vessels. The ischemia affecting extremities takes place when the arterial blood flow is insufficient to satisfy the metabolic demands of muscles in rest. We present a 22-year-old patient treated with norepinephrine after a septic shock suspicion who presented distal ischemia of fingers, toes, and scalp. There is no consensus about the initial treatment. Improved data gathering is necessary for a better understanding of the mechanisms involved, which could improve treatment and prevent amputation as the final therapeutic option.



Dilip D Tanna, Prasoon Kumar

Nonunion of Medial Malleolus Fracture: Tension Band Wiring is an Effective Option Even in Failed Surgeries

[Year:2019] [Month:July-December] [Volume:6] [Number:2] [Pages:5] [Pages No:52 - 56]

Keywords: Autograft, Medial malleolus, Neglected ankle, Nonunion, Tension band, Tension band wiring

   DOI: 10.5005/jp-journals-10040-1111  |  Open Access |  How to cite  | 


Nonunions of medial malleolus (MM) are a relatively rare entity, especially after previous surgical stabilization. These are routinely managed with compression screws and autografts. Usage of tension band wiring (TBW) is very common in acute MM fractures; however, its usefulness in nonunion scenarios has been sporadically reported. We treated a 7-year-old MM nonunion with TBW, which united well after 5 months of follow-up. We present this technique highlighting its critical steps and additionally review previous cases that were treated similarly with good outcomes.


Official Report

IFASCON 2019 New Delhi

[Year:2019] [Month:July-December] [Volume:6] [Number:2] [Pages:2] [Pages No:57 - 58]

   DOI: 10.5005/jp-journals-10040-1109  |  Open Access |  How to cite  | 



Abstracts Presented at the Annual Meeting of Indian Foot and Ankle Society (IFASCON 2019) at New Delhi, 2019

[Year:2019] [Month:July-December] [Volume:6] [Number:2] [Pages:28] [Pages No:59 - 86]

   DOI: 10.5005/jp-journals-10040-1110  |  Open Access |  How to cite  | 


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