Journal of the International Foot & Ankle Foundation <p>The Journal of the International Foot &amp; Ankle Foundation (JIFAF) is an open-access peer-reviewed international journal with a focus on foot and ankle medicine and surgery. It is the official publication of the <strong><a href="">International Foot &amp; Ankle Foundation</a></strong>. Established in 2022, the journal is the continuation of the <strong><a href="" target="_blank" rel="noopener">Foot and Ankle Online Journal (FAOJ)</a></strong>, which ran from 2008 through 2020. JIFAF is the ideal platform for practitioners, residents and students to publish case related material quickly and easily for distribution online absolutely free of charge. Its purpose is to provide a quality journal to further promote education and research in foot and ankle medicine and surgery.</p> International Foot & Ankle Foundation en-US Journal of the International Foot & Ankle Foundation Functional hallux rigidus in high level athletes: Arthroscopic repair by flexor hallucis longus debridement <p><span style="font-weight: 400;">This study aimed at the surgical technique and long-term clinical outcome of releasing the retrotalar pulley and surgical debulking of the flexor hallucis longus muscle belly to restore motion to the first metatarsophalangeal joint. Hallux limitus is defined as a limitation of motion at the first metatarsophalangeal joint. Numerous etiologies have been described, but most are concentrated within the first ray, especially the first metatarsophalangeal joint. We present a series of patients with hallux limitus caused by impingement of the flexor hallucis longus tendon within the retrotalar pulley due to a hypertrophic and/or low-lying muscle belly. Arthroscopic surgical debridement of the retrotalar pulley and surgical debulking of the flexor hallucis longus muscle belly in the posterior ankle compartment resolved all symptoms at the 1st metatarsophalangeal joint and restored normal motion of the first metatarsophalangeal joint allowing all high level athletes to return to their respective sports with no limitations.</span></p> Brian Carpenter Michael Gentile Jacob Russell Hagenbucher Copyright (c) 2022 Journal of the International Foot & Ankle Foundation 2021-12-28 2021-12-28 1 1 Early results of the distally based medial hemisoleus muscle flap in high-risk patients: A case series <p><span style="font-weight: 400;">The lower one-third of the leg, ankle, and posterior heel are devoid of robust soft tissue coverage. Coverage of exposed tendons, hardware, and bone can be challenging. The distally based medial hemisoleus flap is a viable option for soft tissue coverage. The medial hemisoleus flap is supplied by perforators from the posterior tibial artery. Complications of the flap are low, ranging around 8-20%; the most common complication is partial necrosis due to venous congestion. Patients with comorbidities are more prone to partial or complete flap loss and subsequent major amputation. The purpose of this study is to present a case series of medial hemisoleus flaps in high-risk patients with follow-up of 40-52 weeks. We present a case series of five multi-comorbid patients that underwent treatment of osteomyelitis for posterior heel wounds or chronic ankle wounds due to Charcot deformity. Patients were treated with surgical debridement, pathogen directed parenteral antibiotic therapy if indicated, deformity correction, if applicable, and distally based medial hemisoleus flap coverage of wounds. In contrast to free flaps, it allows for shorter operating time and does not necessitate microsurgical experience. The flap has a relatively low complication rate in the literature. In the setting of venous congestion and partial flap necrosis, this can often be managed with various techniques to prevent total flap loss. At follow-up of at least 40 weeks, the medial hemisoleus is a reliable procedure for soft tissue coverage of the lower leg, ankle, and posterior heel.</span></p> Lance Paul Peter Coleman Copyright (c) 2022 Journal of the International Foot & Ankle Foundation 2021-12-31 2021-12-31 1 1 3D printing technology: Rethinking the approach to talar surgery; a literature review <p><span style="font-weight: 400;">Talar fractures account for less than 1% of all fractures, yet despite this low occurrence they represent a major reconstruction challenge for surgeons. While total talar replacements are seldom used, there are very few procedures that can simultaneously repair a damaged talus and allow the patient to retain adequate range of motion, joint stability, function and satisfaction. These factors have become the impetus for exploring the role of 3D printing as a relatively novel surgical intervention for reconstructing the talus. Specific indications for a 3D printed total talar replacement include severe osteoarthritis, avascular necrosis, osteomyelitis, and trauma especially in the setting of a juvenile patient. As a relatively new approach, there is still much to be explored in regards to creating a 3D printed talar prosthesis, and the utility of the technology would greatly benefit from further research and development. Based upon our initial review of seven different studies, the use of 3D printed talar implants, when surgically indicated, demonstrates promising results in increasing patient satisfaction and improving postsurgical outcomes when compared to more conventional methods of repair. Thus, 3D printed talar implants represent a potentially viable tool to be considered by surgeons for a more precise and patient outcome-driven solution following talar injury.</span></p> Ebony Love Laura Sansosti Ziad Labbad Khurram Alyssa Priyanka Sarah Michael Jessica Griffin Copyright (c) 2022 Journal of the International Foot & Ankle Foundation 2021-12-30 2021-12-30 1 1