- Hallux Valgus, Not Hallux Abductus Valgus: A Short Report on Historical and Anatomical Terminology. [Journal Article]Foot Ankle Int. 2026 Aug 29; :10711007261471835. [Online ahead of print]FA
- CONCLUSIONS: Based on anatomical principles and historical analysis, the authors conclude that "Hallux Abductus Valgus" is misleading and suggest that the deformity should be called either "hallux adductus valgus" or, preferably, simply "hallux valgus."
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- Techniques and Strategies for Managing Complex Failures in Total Ankle Arthroplasty: A Contemporary Review. [Review]Foot Ankle Int. 2026 Aug 29; :10711007261471832. [Online ahead of print]FA
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- Outcomes of Iliac Crest Bone-Block Arthrodesis After Failed First MTP Joint Surgery With Bone Loss. [Journal Article]Foot Ankle Int. 2026 Aug 29; :10711007261471136. [Online ahead of print]FA
- CONCLUSIONS: Iliac crest bone-block arthrodesis may be an acceptable salvage option after failed first MTP joint surgery with bone loss, achieving a high radiographic union rate and meaningful clinical improvement; however, postoperative complications were frequent, and outcomes were less favorable in patients with systemic comorbidities or larger structural defects.
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- Dedicated Ankle AP and Long-Leg Radiographs Are Not Interchangeable for Assessing Coronal Ankle Alignment: A Weightbearing CT-Based Comparison. [Journal Article]Foot Ankle Int. 2026 Aug 29; :10711007261469194. [Online ahead of print]FA
- CONCLUSIONS: Dedicated ankle AP radiographs and LLRs are not interchangeable for coronal ankle alignment assessment. LLR-derived measurements appeared to preferentially reflect posterior plafond orientation, whereas dedicated ankle AP radiographs more closely approximated middle plafond region, particularly for MDTA. Reliance on LLRs alone may mischaracterize ankle deformity when joint-level assessment is required.
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- Obesity Is Associated With Earlier Mechanical Failure Following Total Ankle Arthroplasty Independent of Tibial Stem or Keel Augmentation. [Journal Article]Foot Ankle Int. 2026 Aug 29; :10711007261471132. [Online ahead of print]FA
- CONCLUSIONS: After adjusting for age, implant design, and subtalar fusion, BMI ≥30 was independently associated with a significantly higher hazard of mechanical failure and shorter time to revision. Despite the proposed biomechanical advantages of increased tibial fixation, the stemmed or keeled implants used in this cohort were not associated with improved survivorship or patient-reported outcomes at mid-term follow-up.
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- The Superior Fascicle of the Anterior Talofibular Ligament Functions as a Restraint Against Internal Rotation: A Cadaveric Biomechanical Study. [Journal Article]Foot Ankle Int. 2026 Aug 26; :10711007261472466. [Online ahead of print]FA
- CONCLUSIONS: Partial injury to the superior fascicle of the ATFL was not associated with a statistically significant difference in ankle instability under the tested conditions, whereas complete injury was associated with significantly greater internal rotational displacement.
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- Prosthetic Joint Infection After Total Ankle Arthroplasty: A Propensity-Matched Analysis of Risk Factors and Outcomes. [Journal Article]Foot Ankle Int. 2026 Aug 26; :10711007261472908. [Online ahead of print]FA
- CONCLUSIONS: PJI following primary TAA occurred at a rate of 2.7%, with calcaneal displacement osteotomies identified as a significant associated procedural risk factor. Despite the severity of this complication, high rates of limb salvage and arthroplasty retention were observed with contemporary treatment strategies at midterm follow-up.
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- Age-Related Differences in Postoperative Outcomes After Arthroscopic Lateral Ligament Repair for Chronic Lateral Ankle Instability. [Journal Article]Foot Ankle Int. 2026 Aug 26; :10711007261471526. [Online ahead of print]FA
- CONCLUSIONS: The association between age and postoperative outcomes after arthroscopic lateral ankle ligament repair varied across outcome domains. Younger patients demonstrated better outcomes in several functional subscales and achieved faster recovery milestones; however, advanced age alone should not be considered a contraindication to arthroscopic lateral ankle ligament repair.
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- Suture Button Syndesmosis Repair Augmented With Nonanatomic vs Anatomic AITFL Reconstruction and the Added Effect of Deltoid Repair: A Cadaveric Biomechanical Study. [Journal Article]Foot Ankle Int. 2026 Aug 25; :10711007261468351. [Online ahead of print]FA
- CONCLUSIONS: Both the SB+AITFL tails and SB+AITFL augmentation demonstrated improvements in ankle stability over SB alone; with the numbers available, no significant difference between these methods could be detected. However, no repair construct fully restored external ankle rotation to the native state. The deltoid suture repair added medial stability to both SB+AITFL tails and SB+AITFL augmentation. All absolute differences between constructs were small (fractions of a degree or millimeter), and findings should be interpreted accordingly.
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- Development and Internal Validation of a Predictive Model for Clinically Meaningful AOS Improvement After Primary Total Ankle Arthroplasty. [Journal Article]Foot Ankle Int. 2026 Aug 25; :10711007261463241. [Online ahead of print]FA
- CONCLUSIONS: Higher baseline disability and instability-related etiology were associated with increased likelihood of clinically meaningful improvement after TAR. This internally validated model may assist preoperative counseling and shared decision making. A baseline AOS score above 63 was associated with a high probability of clinically meaningful improvement.
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- Quantitative Bone SPECT/CT in Varus-Type Ankle Osteoarthritis: Association With Radiographic Stage and Preoperative Pain. [Journal Article]Foot Ankle Int. 2026 Aug 24; :10711007261469177. [Online ahead of print]FA
- CONCLUSIONS: Quantitative bone SPECT/CT parameters were associated with radiographic severity in patients with varus-type ankle osteoarthritis. Exploratory analyses suggested moderate associations between radiotracer uptake parameters and preoperative pain, although these findings should be interpreted cautiously because VAS data were available only in a subset of patients. These results support further investigation of quantitative SPECT/CT as a complement to conventional radiographic evaluation in AOA.
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- The Effect of Flexible Suture Button Fixation on the Reduction of the Syndesmosis: A Cadaver Study. [Journal Article]Foot Ankle Int. 2026 Aug 13; :10711007261462519. [Online ahead of print]FA
- CONCLUSIONS: Placement of a suture button device appears to aid in syndesmotic reduction at the time of fixation toward anatomic, with an average improvement of approximately 3 mm of translation and approximately 10° of rotation. Quadricortical and tricortical placement does not seem to play a major role in the improvement of reduction; the degree of correction appears related to the 3.7-mm drill aperture permitting suture movement rather than button position.
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- Minimal Clinically Important Difference for the FAAM-ADL Following Total Ankle Arthroplasty: Initial Estimates and Predictors of Achievement. [Journal Article]Foot Ankle Int. 2026 Aug; 47(8):1072-1081.FA
- CONCLUSIONS: This study provides initial estimates of the first FAAM-ADL MCID thresholds following TAA of approximately 12.5 to 32.3 points. Baseline functional status was associated with MCID achievement, whereas demographic and comorbidity factors were not. These findings provide an initial benchmark for interpreting TAA outcomes and underscore the need for future prospective validation.
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- Hybrid, Suture Button, and Screw Fixation for Syndesmotic Stabilization in Isolated Danis Weber Type B and C Fibular Fractures. [Journal Article]Foot Ankle Int. 2026 Jul 27; :10711007261462530. [Online ahead of print]FA
- CONCLUSIONS: Hybrid fixation was not associated with significantly higher 6-month OMAS compared with SB or screw fixation. Because this study was powered for a large effect and was not designed for noninferiority or equivalence, smaller group differences cannot be excluded. The proportion of patients achieving the OMAS MCID threshold was higher in the Hybrid group (85.7%) than in the SB and Screw groups (both 32.3%), reflecting larger within-group score improvement from 12 weeks to 6 months rather than differences in absolute 6-month scores; the clinical significance of this finding is uncertain. The small ROM percentage difference favoring SB over screw fixation was hypothesis generating and of uncertain clinical relevance. These findings suggest that hybrid fixation is a clinically usable option, but future prospective studies should clarify whether combined dynamic and static stabilization offers added value in selected fracture patterns, instability profiles, or patient subgroups.
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- The Distal Fascicle of the Anterior Inferior Tibiofibular Ligament (AITFL-df) as a Reliable Landmark for Fibular Tunnel Positioning in Anterior Talofibular Ligament Reconstruction. [Journal Article]Foot Ankle Int. 2026 Jul 25; :10711007261461286. [Online ahead of print]FA
- CONCLUSIONS: The AITFL-df may serve as a reliable anatomical landmark for fibular tunnel positioning in graft-based ATFL reconstruction. Compared with the FOT, it was associated with greater positioning consistency, particularly when the FOT was unclear.
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