{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:06:04Z","timestamp":1777615564805,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T00:00:00Z","timestamp":1673395200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>Anterior ankle impingement syndrome can frequently present in athletes and post-traumatic patients who have osteophytes contributing to limited dorsiflexion and pain. Surgical treatment options include arthroscopy, open arthrotomy, arthrodesis, and total implant arthroplasty. For many, joint-sparing arthroscopy or arthrotomy yield satisfactory results if significant debridement is performed. If debridement is not aggressive, patients may not obtain the desired improvement. In cases where a larger amount of bone must be removed, or the patient does not have an anatomic appearing talar neck due to osteophytic changes, we have found that an open approach is necessary to achieve good results. To the best of our knowledge, no such technique has been previously published detailing a standard approach to open ankle arthrotomy. Our technique is coined the \u201cAggressive Open Anterior Ankle Cheilectomy\u201d and involves a systematic 3-step approach. First, the tibial osteophytes are resected with an osteotome; second, the ankle gutters are addressed, and all hypertrophic bones removed; and third, an anatomic talar neck is fashioned. We herein describe our surgical technique and case examples.<\/jats:p>\n                  <jats:p>Level of Evidence: 5<\/jats:p>","DOI":"10.1177\/19386400221148538","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T23:57:50Z","timestamp":1673481470000},"page":"57S-62S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Aggressive Open Anterior Ankle Cheilectomy as Joint Salvage for Anterior Ankle Impingement Syndrome and Arthritis"],"prefix":"10.1177","volume":"17","author":[{"given":"Robert","family":"Mendicino","sequence":"first","affiliation":[{"name":"Medical Education Department, OhioHealth Grant Medical Center, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2356-9473","authenticated-orcid":false,"given":"Alex","family":"Bischoff","sequence":"additional","affiliation":[{"name":"Medical Education Department, OhioHealth Grant Medical Center, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5627-2580","authenticated-orcid":false,"given":"Zachary","family":"Hill","sequence":"additional","affiliation":[{"name":"Medical Education Department, OhioHealth Grant Medical Center, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,1,11]]},"reference":[{"key":"bibr1-19386400221148538","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2002.120202.x"},{"key":"bibr2-19386400221148538","doi-asserted-by":"publisher","DOI":"10.1016\/j.carj.2017.04.001"},{"key":"bibr3-19386400221148538","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2016.01.005"},{"key":"bibr4-19386400221148538","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199308000-00016"},{"key":"bibr5-19386400221148538","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2021.11.007"},{"key":"bibr6-19386400221148538","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.01.023"},{"key":"bibr7-19386400221148538","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514550976"},{"key":"bibr8-19386400221148538","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195739040-00007"},{"key":"bibr9-19386400221148538","first-page":"169","volume":"29","author":"Hensley JP","year":"1990","journal-title":"J Foot Surg"},{"key":"bibr10-19386400221148538","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198010000-00015"},{"key":"bibr11-19386400221148538","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2006.06.003"},{"key":"bibr12-19386400221148538","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-8422(23)00673-0"},{"key":"bibr13-19386400221148538","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2063-x"},{"key":"bibr14-19386400221148538","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-22-05-333"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19386400221148538","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19386400221148538","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19386400221148538","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:31:44Z","timestamp":1777411904000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19386400221148538"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,11]]},"references-count":14,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1177\/19386400221148538"],"URL":"https:\/\/doi.org\/10.1177\/19386400221148538","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,11]]}}}