This week in Foot & Ankle

Jun 22–28, 2026 · 1 randomized trial, 26 new studies, 7 reviews · Foot & Ankle archive · All weeks

The new Foot & Ankle research The Reduction sent the week of Jun 22–28, 2026, with the week’s most recent reviews, each with a one-line summary.

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Randomized trials

  1. Effectiveness of Antigravity Treadmill Therapy After Lower Extremity Periarticular Fracture: A Randomized Clinical Trial.RCT

    Journal of the American Academy of Orthopaedic Surgeons · Jul 01 2026 · PubMed

    Antigravity treadmill therapy is safe and well-tolerated after lower extremity periarticular fractures but shows no clear functional benefit over standard care.

New research

  1. Evaluation of rotational profile and foot loading in the uninvolved leg of children with unilateral clubfoot treated with foot abduction orthoses.

    Journal of Pediatric Orthopaedics B · Sep 01 2026 · PubMed

    Uninvolved legs in unilateral clubfoot show external hip rotation and bimalleolar axis changes but no clinically significant impact on thigh-foot angle or foot loading.

  2. Patient-Reported Outcomes and Satisfaction Results on a Modern Fixed-Bearing Total Ankle Arthroplasty: Updated Mean 6-Year Follow-up.

    Foot & Ankle International · Aug 2026 · PubMed

    Fixed-bearing total ankle arthroplasty improved quality of life and pain at mean 6-year follow-up, with outcomes exceeding clinically important thresholds.

  3. EFAS Score - validation of the Norwegien version by the Score Committee of the European Foot and Ankle Society (EFAS).

    Foot and Ankle Surgery · Aug 2026 · PubMed

    Norwegian EFAS Score validation confirms good internal consistency and responsiveness for measuring foot and ankle pathology outcomes across diverse diagnoses.

  4. Long-term Clinical and Radiographic Outcomes After Salto Talaris Total Ankle Arthroplasty: Long-term Follow-up of a Previously Published Cohort.

    Foot & Ankle International · Aug 2026 · PubMed

    Salto Talaris total ankle arthroplasty achieves 86.9% implant survivorship at 15 years with sustained pain improvement and functional gains.

  5. Clinical Outcomes of Custom 3D-Printed Porous Metallic Implants for Reconstruction of Critical-Sized Bone Defects in the Ankle.

    Foot & Ankle International · Jul 2026 · PubMed

    Custom 3D-printed metallic implants for ankle arthrodesis achieved 83% implant retention but 36% required reoperation; prior infection significantly increased complications.

  6. Comparison of Outcomes after Minimally Invasive Transverse Distal Metatarsal Osteotomy (MITO) and Proximal Phalangeal Osteotomy for Hallux Valgus With and Without Rheumatoid Arthritis: A Matched Cohort Study.

    Foot & Ankle International · Jul 2026 · PubMed

    MITO with proximal phalangeal osteotomy achieved excellent radiographic correction and noninferior pain relief in RA patients compared to non-RA patients.

  7. Effect of the Reverse Cotton Osteotomy on First Metatarsal Position: A Cadaveric Study.

    Foot & Ankle International · Jul 2026 · PubMed

    The reverse Cotton osteotomy corrects approximately 1° of first-ray plantarflexion per millimeter of wedge; surgeons should limit resection to 3 mm as larger wedges provide no additional arch correction.

  8. Weightbearing CT Reveals No Anatomical Features Associated With Ligamentous Lisfranc Injuries: A Matched Case-Control Study.

    Foot & Ankle International · Jul 2026 · PubMed

    Weightbearing CT found no significant anatomical differences in second metatarsal length, Lisfranc mortise depth, or foot alignment between ligamentous Lisfranc injury patients and matched controls.

  9. Restricting Access to Care by Using Body Mass Index as Eligibility Criteria for Total Ankle Arthroplasty: A Retrospective Cohort Study.

    Foot & Ankle International · Jun 2026 · PubMed

    BMI-based eligibility cutoffs for TAA would deny 27 complication-free surgeries to prevent one complication, suggesting BMI alone is insufficient for surgical exclusion.

  10. Mechanical integrity of a flexor hallucis longus tendon transfer using an all-inside endoscopic approach.

    Foot and Ankle Surgery · Jun 22 2026 · PubMed

    All-inside endoscopic FHL tendon transfer demonstrates equivalent or superior construct strength with lower neurovascular damage risk compared to traditional techniques.

  11. SALTO TALARIS Total Ankle Arthroplasty at a Minimum of 10 Years of Follow-up: Survival and Radiographic and Clinical Outcomes in a Series of 144 Ankles.

    Journal of Bone and Joint Surgery (American) · Jun 18 2026 · PubMed

    The SALTO TALARIS total ankle arthroplasty demonstrates excellent long-term reliability with 96.2% metallic component survival and 99% arthrodesis-free survival at 10 years minimum follow-up.

  12. CT-confirmed union rates following ankle and hindfoot arthrodesis with and without biological augmentation: A retrospective series.

    Foot and Ankle Surgery · Jun 12 2026 · PubMed

    High CT-verified union rates achieved for ankle-hindfoot arthrodesis without routine bone graft, supporting selective rather than routine biologic augmentation.

  13. A Comparison of Patient-Reported and Radiographic Outcomes Across Rigid and Flexible Flatfeet Following Calcaneal Lengthening Osteotomy in Pediatric Patients.

    Journal of Pediatric Orthopaedics · Jun 05 2026 · PubMed

    Calcaneal lengthening osteotomy significantly improves pain and radiographic alignment in children with both rigid and flexible flatfeet, with comparable outcomes between groups at short-term follow-up.

  14. High CT-scan confirmed union rates following subtalar and talonavicular arthrodesis through a single medial approach.

    Foot and Ankle Surgery · Jun 03 2026 · PubMed

    Single medial approach subtalar and talonavicular arthrodesis achieves 88.9% CT-confirmed fusion with high patient satisfaction and functional improvement.

  15. Infection following foot and ankle surgery : a subanalysis of data captured from the UK Foot and Ankle Thromboembolism (FATE) audit.

    The Bone & Joint Journal · Jun 01 2026 · PubMed

    Superficial and deep infection rates after foot-ankle surgery were 4.1% and 1.4%; diabetic and trauma procedures had significantly higher infection rates.

  16. Decreased evertor strength following peroneus longus tendon harvest for anterior cruciate ligament reconstruction : an isokinetic muscle strength testing study.

    The Bone & Joint Journal · Jun 01 2026 · PubMed

    Peroneus longus tendon harvest for ACL reconstruction causes transient evertor weakness at six months that recovers by one year, with preserved overall ankle function and patient-reported outcomes.

  17. Comprehensive Landscape and Future Perspectives of Surgical Therapy for Osteochondral Lesions of the Talus: A Bibliometric Analysis From 1980 to 2024.

    Journal of the American Academy of Orthopaedic Surgeons · May 27 2026 · PubMed

    Bibliometric analysis shows surgical talus osteochondral lesion treatment evolves from traditional techniques toward biological augmentation and regenerative medicine.

  18. Sports Participation Among Children and Adolescents Following Treatment With the Ponseti Method for Idiopathic Clubfoot: A Multicenter Survey Study.

    Journal of Pediatric Orthopaedics · May 26 2026 · PubMed

    79.5% of children treated for clubfoot with Ponseti method participate in sports, similar to siblings, supporting excellent functional outcomes long-term.

  19. 25-Year revision, reoperation, and complication risk following 150,000 hallux valgus bunion operations in England.

    Foot and Ankle Surgery · May 25 2026 · PubMed

    Hallux valgus surgery carries 93% revision-free survival at 25 years with low 90-day complication rates, confirming safety and durability.

  20. Abnormal preoperative tibiotalar tilt predicts residual ankle pain after mechanical-alignment total knee arthroplasty: A retrospective cohort study.

    The Knee · May 21 2026 · PubMed

    Abnormal preoperative tibiotalar tilt independently predicts residual ankle pain after mechanical-alignment total knee arthroplasty.

  21. Use of an Extended-Length Tibial Tray in Total Ankle Arthroplasty: Rate of Subsidence, Loosening, Heterotopic Bone Formation, and Clinical Outcomes.

    Foot & Ankle Orthopaedics · Apr 2026 · PubMed

    Extended-length tibial tray in total ankle arthroplasty reduced heterotopic ossification, maintained functional outcomes, and improved patient satisfaction versus standard design.

  22. Flatfoot vs Pronation: Structural and Functional Dissociation Between Foot Posture and Foot Physiology.

    Foot & Ankle Orthopaedics · Apr 2026 · PubMed

    Static pronation (FPI-6) showed poor concordance with structural flatfoot or dynamic loading patterns, supporting multidimensional assessment for clinical evaluation.

  23. Nonoperative Treatment of Intra-articular Calcaneus Fractures Is Associated With Lower Rates of Certain Long-term Adverse Events Compared to Operative Management: A Retrospective Database Analysis.

    Foot & Ankle Orthopaedics · Apr 2026 · PubMed

    Nonoperative treatment of intra-articular calcaneus fractures associated with lower long-term adverse events than operative management in large database analysis.

  24. Weightbearing Computed Tomography Reveals Why Heel Varus Is Not Always the Rule in Müller-Weiss Disease.

    Foot & Ankle Orthopaedics · Apr 2026 · PubMed

    WBCT reveals that valgus heel offset occurs in 55% of Müller-Weiss disease feet, contradicting traditional assumption of universal varus; talar configuration predicts alignment.

  25. Peppering Injection for Plantar Heel Pain: A Double-Blind Randomized Feasibility Study (a Short Report).

    Foot & Ankle Orthopaedics · Apr 2026 · PubMed

    A peppering-injection feasibility trial for plantar heel pain was successfully conducted; early signals suggest saline may perform comparably to corticosteroid, supporting a mechanical rather than pharmacologic mechanism.

  26. The incidence and descriptive factors of calcaneal malunion after surgical fixation of intra-articular calcaneal fractures using the sinus tarsi approach: A retrospective cohort study with binary logistic regression analysis.

    Foot and Ankle Surgery · Mar 26 2026 · PubMed

    Calcaneal malunion occurred in 33% after minimally invasive sinus tarsi repair; initial Böhler angle, delayed surgery, and Sanders type predict poor outcomes.

Recent reviews

  1. Etiology, Epidemiology, and Pathogenesis of Müller-Weiss Disease-the Spanish Experience.

    Foot & Ankle Clinics · Mar 2026 · PubMed

    Müller-Weiss disease arises from navicular dysplasia causing lateral talar shift and paradoxical flatfoot, and accurate diagnosis is essential since misclassification distorts epidemiology and treatment outcomes.

  2. Revision of Recurrent Hallux Valgus.

    Foot & Ankle Clinics · Jun 2025 · PubMed

    Hallux valgus recurrence occurs in up to 64.7% after surgery; arthrodesis of tarsometatarsal or metatarsophalangeal joint recommended for severe recurrent deformities.

  3. Comparative Studies of Bone Graft and Orthobiologics for Foot Ankle Arthrodesis: A Critical Review.

    JAAOS Global Research & Reviews · May 01 2024 · PubMed

    Bone grafts and orthobiologic agents show variable efficacy for ankle/hindfoot arthrodesis; limited comparative evidence exists to guide material selection.

  4. Outcomes of Total Ankle Replacement with Preoperative Varus Deformity.

    Foot & Ankle Clinics · Mar 2024 · PubMed

    Total ankle replacement with severe varus deformity achieves good outcomes when corrective procedures applied, though complications increase with deformity severity.

  5. Diagnosing and Managing Infection in Total Ankle Replacement.

    Foot & Ankle Clinics · Mar 2024 · PubMed

    Early TAR infections respond to debridement with polyethylene exchange; late infections require implant removal and two-stage revision with antibiotic spacer.

  6. Nonneurologic Cavovarus Feet in Skeletally Immature Patients: Main Causes and Principles of Treatment.

    Foot & Ankle Clinics · Dec 2023 · PubMed

    Cavovarus foot describes three-dimensional deformity; classification by affected tripod leg (hindfoot, forefoot, first metatarsal) guides surgical planning.

  7. Recognition of Failure Modes of Lateral Ankle Ligament Reconstruction: Revision and Salvage Options.

    Foot & Ankle Clinics · Mar 2021 · PubMed

    Lateral ankle ligament reconstruction failures require identifying cavovarus deformity and hypermobility; revision with suture-tape augmentation or allograft addresses recurrence.

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