Achilles tendon ruptures are a common tendon injury, usually occurring in middle-aged men during recreational sporting activities. Both nonoperative and operative management are employed to treat these injuries. Several operative treatments are described in the literature, including percutaneous Achilles repair, mini-open repair, and open repair. Open Achilles repair is associated with higher rates of [...]
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So far Thomas Clanton has created 62 blog entries.
Biomechanical Analysis of an Arthroscopic Broström Ankle Ligament Repair and a Suture Anchor-Augmented RepairThomas Clanton2021-05-05T12:09:21-06:00
Secondary surgical repair of ankle ligaments is often indicated in cases of chronic lateral ankle instability. Recently, arthroscopic Broström techniques have been described, but biomechanical information is limited. The purpose of the present study was to analyze the biomechanical properties of an arthroscopic Broström repair and augmented repair with a proximally placed suture anchor. It [...]
Magnetic Resonance Imaging Characterization of Individual Ankle Syndesmosis Structures in Asymptomatic and Surgically Treated CohortsThomas Clanton2021-05-05T12:09:21-06:00
Syndesmosis sprains can contribute to chronic pain and instability, which are often indications for surgical intervention. The literature lacks sufficient objective data detailing the complex anatomy and localized osseous landmarks essential for current surgical techniques. This study found that data regarding anatomic attachment sites and distances to bony prominences can optimize current surgical fixation techniques, [...]
Syndesmosis sprains can contribute to chronic pain and instability, which are often indications for surgical intervention. The literature lacks sufficient objective data detailing the complex anatomy and localized osseous landmarks essential for current surgical techniques. This study found that the qualitative and quantitative anatomy of the syndesmotic ligaments was reproducibly described and defined with respect to [...]
Lateral ankle ligament injuries rank among the most frequently observed athletic injuries, requiring repair or reconstruction when indicated. However, there is a lack of quantitative data detailing the ligament attachment sites on standard radiographic views. This study found that radiographic parameters quantitatively describing the anatomic origins and insertions of the lateral ankle ligaments were defined [...]
Use of Cartilage Extracellular Matrix and Bone Marrow Aspirate Concentrate in Treatment of Osteochondral Lesions of the TalusThomas Clanton2021-05-05T12:09:22-06:00
Osteochondral lesions of the talus are generally the result of trauma and often result in persistent pain and disability. Various treatment options have evolved to treat these challenging problems, ranging from conservative management to marrow stimulation and cartilage or chondrocyte transplantation. Microfracture is the first line of treatment for many of these lesions. However, there [...]
The purpose of this study was to document outcomes following microfracture of articular cartilage lesions of the ankle. Our hypothesis was that patients who underwent ankle microfracture would have good to excellent outcomes. This study found that patients who underwent microfracture for grade 3 or 4 ankle articular cartilage lesions had high patient satisfaction. Patients [...]
Ligamentous injuries to the midfoot during athletic endeavors are becoming more common and more troublesome as they can take significant time before the athlete is able to return to play. Late changes in alignment or post-traumatic arthritis are complications of inadequate treatment. The mechanism of injury is either direct impact to the dorsal midfoot or [...]
The relatively young sport of snowboarding exhibits high injury rates. The current efforts to characterise the injury pattern of snowboarders focus largely on the general snowboard population and upper extremity injuries, the most common injury site in snowboarders as a whole. Snowboarding continues to evolve as a sport. This includes a steady progression in the degree [...]
The ankle rearfoot complex consists of the ankle and subtalar joints. This is an observational study on two test conditions of the rearfoot complex. Using high-speed biplane fluoroscopy, we present a method to measure rearfoot kinematics during normal gait and compare rearfoot kinematics between barefoot and shod gait. This study found that biplane fluoroscopy can [...]