Many techniques have been described for arthrodesis of the first metatarsophalangeal (MTP) joint. The purpose this study was to determine results fixation using a low-profile dorsal titanium plate with locking screws in phalanx, nonlocking metatarsal, and plantar neutralization screw.Forty-nine consecutive patients (51 feet) underwent MTP joint during an enrollment period 1 year from October 2010 November, 2011. All were evaluated preoperatively primary pathology, pain, function,...

Background: Lesser metatarsophalangeal (MTP) joint instability is a common cause of forefoot pain. Advances in operative technique and instrumentation have made it possible to anatomically treat plantar plate tears through dorsal approach. Our goal was evaluate the subjective, functional, radiographic outcomes repair (PPR) from Methods: A prospective case series performed evaluating results PPR 97 feet with 138 tears. Patients underwent approach Weil osteotomy. We followed patients at...

Submission Type: Total Ankle Arthroplasty Research Level 2 - Prospective comparative study, Meta-analysis of studies or 1 with inconsistent results Introduction/Purpose: Fourth-generation ankle replacements is evolving to account for the continued high rate complications and revision following implantation. Previous have highlighted importance adequate positioning total implants achieving favorable outcomes. Additionally, poor alignment has been associated premature component wear. Moreover,...

Submission Type: Hallux Valgus Research Level 2 - Prospective comparative study, Meta-analysis of studies or 1 with inconsistent results Introduction/Purpose: The medial closing wedge osteotomy the proximal phalanx, known as Akin osteotomy, is a common procedure in combination metatarsal osteotomies and soft tissue realignment procedures to achieve hallux valgus deformity correction. With developments surgical instrumentation, option perform percutaneously has grown popularity. There limited...

Background: Plantar fasciitis affects nearly 1 million people annually in the United States. Traditional nonoperative management is successful about 90% of patients, usually within 10 months. Chronic plantar develops 10% patients and a difficult clinical problem to treat. A newly emerging technology, low-level laser therapy (LLLT), has demonstrated promising results for treatment acute chronic pain. Methods: Thirty were administered LLLT completed 12 months follow-up. Patients treated twice...

Background: The first metatarsocuneiform joint is involved in ray biomechanics and related forefoot pathology. purpose of this study was to evaluate the radiographic findings relation angular position beam, assess mobility as it relates anatomic orientation facets on both imaging gross dissection. Methods: Thirty-nine cadaveric lower extremity limbs were stratified normal, mild, moderate, or severe hallux valgus deformity. Mobility for each specimen assessed using Klaue device. medial...

Operative correction of a hammertoe deformity is often accomplished by excision the articular surface proximal interphalangeal joint (PIP) and fixation across joint. This study aimed to prospectively evaluate clinical radiographic outcomes operative utilizing an internal implant assess its ability maintain postoperative alignment.Twenty-nine patients (53 toes) with painful rigid were enrolled operatively treated resection arthroplasty PIP implant. Five lost follow-up, 24 (42 returned at...

Turf toe injury typically describes an to the metatarsosesamoid complex of hallux generally caused by a hyperextension force great toe. This may be accompanied pain, deformity, and decreased athletic performance. Operative treatment repair damaged tissue can difficult, we present technique description that help simplify surgical reconstruction.

The original Stener lesion, described in 1962, refers to an ulnar collateral ligament tear of the thumb metacarpophalangeal joint with adductor aponeurosis interposition. serves as a mechanical block healing by preventing apposition torn ends ligament. This article presents case 27-year-old woman painful swelling following car accident. Complete radial was diagnosed based on physical and radiographic examinations. Radial injuries are reported be less common than injuries, and, past, tears...

Background: Evidence of successful correction on postoperative hallux valgus imaging studies may not always correlate with patient satisfaction. Recent attention to the association cartilaginous degeneration and provide new insight into treatment algorithms expectations. The purpose this cadaveric study was evaluate degree chondral damage as it relates increasing deformity. Methods: A total 39 cadaver first metatarsophalangeal joints were evaluated by radiography, then dissected for damage....

Background: A few studies report correlations between radiographic and anatomic measurements of the distal metatarsal articular angle (DMAA). However, little is known about how DMAA correlates with hallux valgus (HVA) clinical measurements. Methods: We dissected, measured, radiographed 39 cadaveric feet for evidence DMAA. then correlated these values paired made by physician evaluators. Results: Physician measurement were significantly a mean r = 0.64 (evaluator range, 0.44-0.66). Pairwise...

The nature of trampoline injuries may have changed with the increasing popularity recreational jump parks.A retrospective review was performed evaluating domestic and commercial park over a 2-year period.There were 439 injuries: 150 (34%) at parks versus 289 (66%) on home trampolines. Fractures dislocations accounted for 55% 44% injuries. In adults, fractures 45% 17% More lower extremity seen trampolines in both children adults. Adults had 23% surgical rate 10% trampolines.Trampoline-related...

Introduction/Purpose: As the fourth generation of total ankle arthroplasty (TAA) implants evolve, treatment solutions for end- stage arthritis continue to improve. Technological advancements in CT guided planning and 3-D printing offers surgeons ability perform TAA with patient specific instrumentation implants. printed components are designed act as scaffold hopes facilitate early in-growth, increase implant stability, support long-term survivorship, ultimately improve quality life our...

Ankle fractures are an extremely common orthopaedic injury treated by surgeons on a routine basis. The deltoid ligament is torn in large number of these and commonly seen with associated radiographic changes medial clear space widening. clinical relevance addressing the injured acute surgical repair has been debated for decades. early literature documenting or reconstruction dates back to 1950s. Most commonly, restore lateral column directly fibula fracture fixation. may then be further...