I. Chronic Achilles tendon problems. Achilles tendinopathy may include non-insertional and insertional tendinosis28,60. Non-operative treatment may include anti-inflammatory medication, rest, and immobilization28,60. Operative treatment options include tendon debridement and repair, tendon augmentation with a flexor hallucis longus tendon transfer28, endoscopic debridement56, reconstruction using a central tendon splitting approach57, and tendon detachment and reconstruction84. II. Ankle instability. Ankle sprains may result in chronic instability and dysfunction42. Surgical treatment of chronic ankle instability may include the Brostrøm

The 23rd Annual Summer Meeting of the American Orthopaedic Foot and Ankle Society (AOFAS) was held 13–15 July 2007 at the Westin Harbour Castle Hotel in Toronto, Ontario, Canada. There were 538 registrants in attendance, including 182 individuals from 29 countries outside the United States. # 2007 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

Michael J. Coughlin, Roger A. Mann, Charles L. Saltzman, editors. Philadelphia: Mosby Elsevier; 2007. 2235 pages. $499.00. ISBN: 978-0-323-03305-3 . This is both figuratively and literally a very weighty book that, by virtue of its electronic supplements, is a remarkable achievement in the blending of print, web, and video. The evolutionary roots of this book lie in the original Surgery of the Foot, by Henri DuVries (1959). At the time of the first publication, foot surgery was only an asterisk in most textbooks, and the topic was accorded such minimal importance that it comprised small discussions of bunions, hammertoes, and flat feet. In commemoration of the upcoming fiftieth anniversary of that first publication, this eighth edition has a gold cover and gold-colored “50” icons sprinkled throughout the work. Specialty works of this type are usually written either by a single author, which can result in a personal, opinionated, and sometimes biased account, or by multiple authors, which often results in wide-ranging and disparate information. This work combines the best aspects of both types of authorship by showing us personal and opinionated information balanced by more diverse information available only from multiple authors. This is a distillation of Roger Mann's work, further expanded and developed primarily by Michael Coughlin. Dr. Coughlin, an extensively published surgeon, has taken the previous editions of Mann's and Coughlin's jointly edited books, edited out large …

2.1.1. Charcot foot In 20 patients with Charcot midfoot arthropathy with collapse of the longitudinal arch, surgical correction included osteotomy, bone resection and intramedullary screw fixation [1]. Bony union was achieved in 15 (75%) patients at an average of 6 months after surgery, and all patients resumed functional ambulatory status within 9.5 months; 2 (10%) patients developed a recurrent plantar ulcer [1].

I. Achilles tendon disorders: Nonoperative treatment of acute Achilles tendon ruptures may include cast immobilization in plantarflexion for a minimum of 2 months.47 Chronic Achilles tendon ruptures can be treated with a cast, brace, or surgical treatment that may include a coronal turndown flap, plantaris tendon graft, tendon allograft, or flexor hallucis longus tendon transfer.1 Achilles tendinosis also may be treated with a cast or cast boot, brace, or surgery that includes tendon debridement, ostectomy, and tendon

The American Orthopaedic Foot and Ankle Society “Diabetic Foot Care” patient education leaflet was revised to improve the layout and emphasis of key concepts of preventive care. This included review of daily foot and shoe examination, danger signs, daily washing and foot care, shoe fitting, medical care, and avoidance of dangerous acts. The leaflet was expanded to occupy two sides of a page, retaining the capability of production in tear-off sheet format to facilitate distribution to patients in the clinical office. Furthermore, the leaflet was translated into 19 other languages for diabetic patients in the United States and around the world with limited English language comprehension.

I. Surgical pearls: Fibular sesamoidectomy may be performed from a plantar approach, but the surgical defect should be closed [1]. Subluxing peroneal tendons may be managed with a stabilization procedure that includes superior peroneal retinaculoplasty with an anterior-based periosteal flap and fibular groove deepening [2]. Subtalar hypermobility and inversion instability may result in subtalar joint pain; management may include a split peroneus brevis tenodesis to limit subtalar excursion [3]. II. Meet the researcher: There were 80 poster presentations that covered diverse basic science and clinical studies. III. International orthopaedic perspectives: The AOFAS outreach mission to Vietnam (2002–2004) included

I. Hallux Valgus: Case Controversies Complex hallux valgus cases were presented and discussed.66 A 40-year-old man with failed previous exostectomy, who had associated metatarsus adductus and painful arthrosis of the second and third metatarsocuneiform joints, was managed with a first, second, and third tarsometatarsal arthrodesis.66 Additional issues in hallux valgus deformity may include excessive resection of the first metatarsal head, second metatarsophalangeal (MTP) joint dislocation, and hallux varus.66

“Attitude is the decision.” Linda Bunker, Ph.D., Sports Psychologist 1