This eighth edition of Foot & Ankle Orthopaedics Essential Review Articles celebrates four outstanding contributions that each introduce a modern upgrade to the foot and ankle surgeon’s operative “toolkit.” While their topics are diverse—ranging from deformity imaging to fixation methods and graft biology—each review focuses on a crucial building block of surgical care: the tools we use, the techniques we refine, and the tissues we rely on for healing.
We begin with Fayed et al, who guide us through the maturing field of weightbearing computed tomography (WBCT). In the context of progressive collapsing foot deformity (PCFD), this review outlines how WBCT improves our ability to measure, diagnose, and plan treatment with more precision than ever before. These tools now offer validated thresholds for surgical decision-making—transforming previously qualitative assessments into quantifiable metrics.
From advanced imaging to implant innovation, Reddy et al provide a systematic review of nitinol compression staples—a compelling and increasingly popular fixation tool. Their findings suggest that nitinol staples, with their ease of use and dynamic compressive properties, offer fusion rates comparable to more traditional hardware, with the added benefit of simplified application and consistent biomechanical performance.
Massri-Pugin et al take us into the evolving landscape of percutaneous fixation for posterior malleolar fractures. In their contemporary review, they detail how posterior-to-anterior (PA) lag screw techniques are being optimized for safer, more reproducible fixation—backed by cadaveric safety studies and growing clinical experience. Their insights refine a technique that many surgeons already use and offer practical pearls that can improve outcomes.
Finally, Iturregui et al examine the biologic cornerstone of many reconstructive procedures: bone autograft. Their review synthesizes data on cellular yield, donor site morbidity, and evolving harvest techniques, helping surgeons make more informed decisions about what tissue to use, and where to find it.
Together, these articles exemplify the spirit of continuous refinement that defines our field. Each review offers something concrete—something a surgeon can adopt, question, or build upon in their own practice. Whether you are exploring new imaging metrics, evaluating fusion hardware, perfecting a percutaneous technique, or selecting the best graft source, these reviews deliver expert guidance grounded in data and clinical experience.
As always, we are proud to make this series freely available worldwide as part of the mission of Foot & Ankle Orthopaedics. Please consider contributing your own scholarship to further this goal of improving lives through exceptional orthopaedic foot and ankle care.
Charles Saltzman, MD
Editor-in-ChiefFoot & Ankle Orthopaedics
Foot & Ankle International
