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Jones Alex P - - 2007
Although stabilization of the lateral ankle ligament complex (LALC) with augmented techniques is known to be successful, it is associated with a number of complications. We hypothesize that successful stabilization of LALC can be achieved with a woven polyester tape implant via a minimally invasive procedure, as an alternative to ...
Rizzo Marco - - 2008
INTRODUCTION: We retrospectively compared the outcomes of open reduction and internal fixation (ORIF) with volar locking plate versus standard external fixation and percutaneous pinning in treating similar unstable distal radius fractures with a minimum 2-year follow-up. METHODS: The ORIF group included 41 patients with an average follow-up of 29 months. ...
Schenk Siegfried - - 2009
Resection arthroplasty-known as the Keller procedure-is used for the treatment of severe hallux rigidus. As a modification of this procedure, resection arthroplasty is combined with cheilectomy and interposition of the dorsal capsule and extensor hallucis brevis tendon, which are then sutured to the flexor hallucis brevis tendon on the plantar ...
de Palma L - - 2008
INTRODUCTION: Subtalar dislocation (SD) is an uncommon injury accounting for 1-2% of all dislocations. It involves simultaneous disruption of the talocalcaneal and talonavicular joints, without involvement of the calcaneocuboid or tibiotalar joints or talar neck fracture. We present a retrospective study of pure medial and lateral SDs treated conservatively and ...
Eralp Levent - - 2007
BACKGROUND: Distal tibial reconstruction with use of an external fixator when there is bone loss, limb-length discrepancy, and/or ankle instability is associated with many problems. The technique of limb-lengthening, ankle arthrodesis, and segmental transfer over an intramedullary nail has been introduced to overcome these problems. The present study investigates this ...
Hosman Anton H - - 2007
BACKGROUND AND PURPOSE: There have been few reports of large series of ankle replacements. The aim of this study was to document and evaluate the early results of a nationwide series of total ankle replacements (TARs) performed using second- and third-generation implants. METHODS: Records of total ankle replacements performed between ...
SooHoo Nelson F - - 2007
BACKGROUND: The role of ankle arthroplasty in the treatment of ankle arthritis is controversial. Ankle fusion is commonly performed, but there is ongoing concern about functional limitations and arthritis in the adjacent subtalar joint following ankle arthrodesis. The use of ankle arthroplasty as an alternative to ankle fusion is expanding, ...
Henricson Anders - - 2007
BACKGROUND: Whether or not ankles can be replaced with reasonable safety has been the subject of debate. We present the results of a nationwide series of total ankle arthroplasties. PATIENTS AND METHODS: All Swedish hospitals that implant or have implanted modern three-component ankle prostheses reported demographic data and date of ...
Perumal Venkat - - 2007
BACKGROUND: The literature on the best treatment of osteochondritis dissecans of the talus (OCDT) in children is scarce because of rarity of the condition. In addition, patients with this condition typically become asymptomatic long before radiographic healing is complete that might give a false perception of clinical success. We determined ...
Fevang Bjørg-Tilde S - - 2007
BACKGROUND AND PURPOSE: There have been few reports on the long-term outcome of ankle replacements. The Norwegian Arthroplasty Register has been registering ankle replacements since 1994, but no analysis of these data has been published to date. Here we report data on the use of total ankle replacements and the ...
Ramseier Leonhard E - - 2007
Late recurrence of idiopathic clubfoot deformity in adults after prior successful surgery in childhood remains a rarity and only case reports exist. No study has yet clarified the results of triple arthrodesis in such cases. Complete clinical and radiological review of 7 patients (7 feet) after a follow-up time of ...
Tucker Michael C - - 2007
OBJECTIVES: Antegrade femoral nailing through a piriformis fossa starting point in patients who are obese has been demonstrated to be problematic. Retrograde femoral nailing therefore has been advocated in this patient population, but little data exist to support such a recommendation. The purpose of this study was to evaluate and ...
Pagenstert Geert I - - 2007
In patients with asymmetric (varus or valgus) ankle osteoarthritis, realignment surgery is an alternative treatment to fusion or total ankle replacement in selected cases. To determine whether realignment surgery in asymmetric ankle osteoarthritis relieved pain and improved function, we clinically and radiographically followed 35 consecutive patients with posttraumatic ankle osteoarthritis ...
Culpan P - - 2007
We present a series of 16 patients treated between 1993 and 2006 who had a failed total ankle replacement converted to an arthrodesis using bone grafting with internal fixation. We used tricortical autograft from the iliac crest to preserve the height of the ankle, the malleoli and the subtalar joint. ...
Cosma Dan - - 2007
The current study aims at presenting the results of the two methods of conservative treatment in clubfoot: the Romanian traditional method and the Ponseti method. The study population included 103 children (148 clubfeet) treated in our department between 1998 and 2005. Between 1998 and 2003, the conservative treatment protocol was ...
Grewal Ruby - - 2007
PURPOSE: The purpose of this study was to determine if malalignment after extra-articular distal radius fractures influenced patient-reported pain and disability at 1 year and to investigate how this relationship changes with age. METHODS: Two hundred sixteen subjects with extra-articular distal radius fractures were followed. The influence of specific radiographic ...
Haddad S L - - 2007
BACKGROUND: The efficacy of total ankle replacement compared with that of ankle fusion continues to be one of the most debated topics in foot and ankle surgery. The purpose of this study was to determine whether there are sufficient objective cumulative data in the literature to compare the two procedures. ...
Eralp Levent - - 2007
BACKGROUND: Callus distraction over an intramedullary nail is a rarely used technique for the reconstruction of intercalary defects of the femur and tibia after radical débridement of chronic osteomyelitic foci. The aim of this study was to summarize our experience with distraction osteogenesis performed with an external fixator combined with ...
Tomić Slavko - - 2007
OBJECTIVES: To evaluate the outcomes of patients with atrophic humeral shaft nonunion (HSNU) treated by Ilizarov frame fixation without the use of bone graft. DESIGN: A retrospective review of 28 consecutive patients treated in 1 center between 1996 and 2002. SETTING: Tertiary referral center. PATIENTS AND METHODS: We studied 28 ...
Raikin Steven M - - 2007
BACKGROUND: Currently, arthrodesis is the most commonly performed surgical procedure for the treatment of severe arthritis of the first metatarsophalangeal joint. The objective of this study was to compare the long-term clinical and radiographic outcomes of a metallic hemiarthroplasty with those of arthrodesis for the treatment of this condition. METHODS: ...
Baums Mike H - - 2007
BACKGROUND: Despite its highly specialized nature, articular cartilage has a poor reparative capability. Treatment of symptomatic osteochondral defects of the talus has been especially difficult until now. METHODS: We performed autologous chondrocyte transplantation in twelve patients with a focal deep cartilage lesion of the talus. There were seven female and ...
Dalla Paola Luca L Abano Terme Hospital, Diabetic Foot Department, Piazza Cristoforo Columbo 1, Abano Terme, Padova 35031, Italy. - - 2007
Charcot neuroarthropathy is a serious complication associated with diabetic neuropathy. This complication probably is most serious when the ankle is involved because of the instability and progressive deformity, which often leads to ulceration, osteomyelitis, and amputation. Arthrodesis before the ulcerated lesion appears is considered a limb salvage treatment. One of ...
Hockenbury R Todd RT University of Louisville, Advanced Orthopaedics of Louisville, Louisville, KY 40207, USA. - - 2007
The purpose of this study was to review the results of arthrodesis of the Charcot hindfoot when an implantable bone growth stimulator was added to the procedure. Arthrodesis of the Charcot hindfoot has a high nonunion and complication rate. Ten patients (ages 50 to 69 years) with Charcot neuroarthropathy of ...
Ahmad Jamal J Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA 19107, - - 2007
Different types of fixation have been used to achieve a tibiotalocalcaneal (TTC) arthrodesis. The purpose of this study was to retrospectively examine the modified use of a 3.5-mm proximal humeral locking plate (PHILOS plate, Synthes, Paoli, PA) in obtaining a TTC fusion. Between April, 2003, and November, 2005, 17 patients ...
Wang Liming - - 2007
PURPOSE: The purpose of this study was to determine the course and safe distances achieved with modified coaxial portals for hindfoot arthroscopy and report the clinical results. METHODS: We used 30 embalmed cadaveric ankle specimens and 10 fresh-frozen ankle specimens for anatomic measurements and trial operations. The posteromedial portal via ...
Koval Kenneth J - - 2007
OBJECTIVES: At our institution, a standardized protocol using magnetic resonance imaging (MRI) to evaluate ankle stability and need for surgery following a positive manual stress test for isolated lateral malleolus fractures has been used. The purpose of this study was to evaluate the results using this standardized protocol. DESIGN: Retrospective ...
Eylon Sharon S Hadassah-Hebrew University Medical Center, Orthopedic Surgery, Ein Karem, Jerusalem, - - 2007
Many operative techniques have been described for ankle arthrodesis, with varying fusion rates. In revisions, the fusion rate is lower than in primary arthrodesis. Recent reports have described good results after Ilizarov ankle arthrodesis. However, descriptions were qualitative, with none using an accepted score. We describe our experience with this ...
Shawen Scott B SB Orthopaedic Foot and Ankle Surgery, Orthopaedic Surgery Department, Walter Reed Army Medical Center, Washington, DC 20307, USA. - - 2007
Arthrosis of the fourth and fifth tarsometatarsal joints is difficult to treat. Arthrodesis is both difficult to achieve as well as disabling. Tendon interpositional arthroplasty has been performed with some success. A new technique using ceramic ball interpositional arthroplasty was evaluated. Between 2001 and 2003, 13 patients in whom nonoperative ...
Mologne Timothy S TS Sports Medicine Center, Appleton, WI, - - 2007
Osteochondral lesions of the tibia are much less frequent than those of the talus, and treatment guidelines have not been established. We hypothesized that arthroscopic treatment methods used for osteochondral lesion of the talus would also be effective for those of the distal tibia. A review of 880 consecutive ankle ...
Morota Nobuhito - - 2007
PURPOSE: The author describes the history of functional posterior rhizotomy (FPR), the surgical procedure currently used, and the results together with its future perspective in Japan. The modern form of FPR was introduced to Japan in 1995, and the first surgery was carried out in 1996. Despite initial resistance from ...
Taylor Dean C - - 2007
BACKGROUND: Grade III syndesmosis sprains are usually treated with internal fixation. Limited information is available on early weightbearing and early return to activity after operative treatment for grade III syndesmosis sprains. HYPOTHESIS: Treatment of grade III syndesmosis sprains in intercollegiate athletes with internal fixation, early range of motion, and early ...
Platzer Patrick - - 2007
STUDY DESIGN: A retrospective, comparative study. SUMMARY OF BACKGROUND DATA AND OBJECTIVES: Anterior screw fixation has become an accomplished treatment option for the management of odontoid fractures. In younger patients, it has shown encouraging results with low complication rates; whereas in geriatric trauma victims, it remains the subject of controversy. ...
El-Deeb Khamis H - - 2007
Extreme overcorrection and avascular necrosis are recognized complications in clubfoot surgery and are thought to be the result of division of the talocalcaneal interosseous ligament (TCIL). This is a preliminary report of a prospective study of the cases of 46 patients with 66 idiopathic clubfeet treated by means of soft ...
Pena Fernando F Orthopaedic Surgery, University of Minnesota, Minneapolis, MN 55454, - - 2007
Little information is available on the American Orthopaedic Foot and Ankle Society (AOFAS) outcome tool and its capacity to show changes and improvement in function of patients without a floor or ceiling effect. The purpose of the study was to compare results from the Musculoskeletal Functional Assessment (MFA) and AOFAS ...
Weitzel Stefan S Queen Mary's Hospital, Sidcup, London, United Kingdom. - - 2007
Bunionette deformity of the fifth metatarsal infrequently requires operative treatment. This study presents the long-term results of a simple operative technique. Forty-four distal metatarsal medial slide osteotomies with pin fixation were performed for symptomatic bunionette deformity in 30 patients. After an average of 7 years and 8 months (range 69 ...
Verbruggen J P A M - - 2007
In the elderly person, comorbidities combined with lower functional demands tend to indicate non-operative treatment; however, fast functional recovery is mandatory to prevent loss of independency and social ability. This retrospective follow-up study included 40 people with a mean age of 75 (range 60-87) years. They had all received treatment ...
Ulstrup Anton K - - 2007
BACKGROUND: Knee arthrodesis with external fixation (XF) is a possible salvage procedure for infected total knee arthroplasties (TKA). We report the outcome in 10 patients who underwent arthrodesis with the Sheffield Ring Fixator. PATIENTS AND METHODS: The patients had primary arthrosis in 8 cases; 2 cases were due to rheumatoid ...
Gul Arif - - 2007
The objective of this study was to determine whether immediate mobilisation and unprotected weight-bearing of rigidly internally fixed fractured ankles had a significant effect on ankle function or whether it predisposed the ankle to loss of reduction or hardware failure. Twenty five patients with operated Weber A/B/C fractures were allowed ...
Gougoulias Nikolaos E NE University of Thessalia, Greece, Orthopaedics, Larissa, 41222, Greece. - - 2007
Arthroscopic arthrodesis has been used mainly for in situ fusion of arthritic ankles without deformity. This paper presents the application of arthroscopic arthrodesis of ankles with marked deformity. The results of 78 consecutive cases of arthroscopic ankle arthrodeses, performed in 74 patients, were retrospectively evaluated. Forty-eight ankles had minor deformity ...
Hassan Al-Husseiny Moustafa - - 2007
Impingement syndromes of the ankle joint are among the most common intraarticular ankle lesions. Soft tissue impingement lesions of the ankle usually occur as a result of synovial, or capsular irritation secondary to traumatic injuries, usually ankle sprains, leading to chronic ankle pain. The aim of this prospective study was ...
Linhart Wolfgang - - 2007
OBJECTIVES/DESIGN: To assess the functional outcome after treatment of proximal humeral fractures with a new antegrade nail that provides angular and sliding stability. INTERVENTION/PATIENTS: Ninety-seven patients were treated during a 4-year period between April 2000 and March 2004. All patients were followed for 6 months, 51 patients (53%) for 12 ...
Edmondson Mark C - - 2007
We describe a 17-year follow-up of 44 surgically corrected clubfeet. They were classified preoperatively as mild, moderate or severe and grouped into those operated on before or after 3 months of age. Moderate and severe deformities underwent a posteromedial release after a trial of conservative management. The mean Ponseti score ...
Kaewpornsawan Kamolporn - - 2007
OBJECTIVE: To compare the surgical results of modified posteromedial release with modified complete subtalar release in resistant congenital clubfoot in a randomized controlled trial MATERIAL AND METHOD: Eighty six children with 128 clubfeet, at an average of 5.9 months old (3-12 months) were operated on between 1996 and 2006 by ...
Harstall Roger R Orthopaedic Surgery, University of Bern, Bern, - - 2007
Medial ankle joint pain with localized cartilage degeneration due to medial joint overload in varus malalignment of the hindfoot lends itself to treatment by lateral closing wedge supramalleolar osteotomy. From 1998 to 2003, nine patients between the ages of 21 to 59 years were operated. The etiology of the malalignment ...
Bazaz Rajesh R Western Orthopaedics, Denver, CO, - - 2007
Conservative treatment for plantar fasciitis usually provides improvement, but some patients progress to surgery. Open release is most commonly performed but is associated with prolonged recovery and complications. Endoscopic plantar fascia release (EPFR) has become popular recently. We present our results. Twenty patients (23 feet) had EPFR. Sixteen patients (19 ...
Weiss R J - - 2007
OBJECTIVES: To evaluate the effects of ankle/hindfoot arthrodesis in rheumatoid arthritis (RA) patients on gait pattern of the knee and hip. METHODS: In this prospective follow-up study, 14 RA patients scheduled for ankle/hindfoot arthrodesis (talo-calcaneal, talo-navicular, calcaneo-cuboid and/or talo-crural joints) and 14 age- and sex-matched healthy controls were included. Three-dimensional ...
Bjørgul Kristian - - 2007
BACKGROUND: A high reoperation rate has been the main reason why Gamma nailing should not be recommended for routine use in the treatment of trochanteric fractures. We compared the outcome after reoperation to the outcome after primary surgery with Gamma nailing. METHODS: In a series of 554 patients, we compared ...
Kim Hyun Koo - - 2007
We evaluated the safety and stability of the less-invasive submuscular bar fixation method in the Nuss procedure. One hundred and thirteen patients undergoing the Nuss procedure were divided into three groups according to the bar fixation technique employed. Group 1 consisted of 25 patients who had undergone bilateral pericostal bar ...
Niinimäki Tuukka Timo TT Department of Surgery, Division of Orthopaedic and Trauma Surgery, Oulu University Hospital PL21, FIN-90029 OYS, Oulu, Finland. - - 2007
Tibiotalocalcaneal arthrodesis is a treatment modality for severe arthrosis and malalignment of the hindfoot. Complications, such as delayed union and nonunion, are well-known risks of the procedure. Arthrodesis can be done with a plate, screws, an external fixator, or an intramedullary nail. Compression with an intramedullary nail was the focus ...
Jung Hong Geun HG Union Memorial Hospital, Baltimore, MD 21218, - - 2007
The purpose of this study was to identify subtypes of atraumatic osteoarthritis of the tarsometatarsal joints based on accompanying foot deformities and to determine whether concurrent procedures done for each subtype were effective. The study included 59 patients (67 feet) with atraumatic tarsometatarsal joint osteoarthritis treated with tarsometatarsal fusion. The ...
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