The high incidence of soft tissue complications related to open Achilles repair has driven enthusiasm for developing minimally invasive surgical procedures. Dresden procedure, which reduces wound-healing issues and avoids sural nerve damage, recently been published shows good functional results.To evaluate medium-term clinical results procedures using the mini-open technique on acute tendon ruptures.Case series; Level evidence, 4.A retrospective analysis was performed 100 consecutive...

Introduction: Femoral/tibial lengthening with a telescopic, magnetically-powered, intramedullary nail is an alternative to external fixation.

Background: Anatomic restoration and postoperative rehabilitation of displaced fracture-dislocations the tarsometatarsal junction foot are essential. Our objective was to report percutaneous reduction screw fixation results in low-energy Lisfranc fracture dislocation injuries that were treated with early weight-bearing rehabilitation. Methods: We retrospectively evaluated patients who underwent surgery between May 2007 April 2011. The study reviewed 22 (12 men 10 women) an average age 36.2...

More than 200 different surgical techniques exist for hallux valgus (HV). Some of them are designed mild, moderate, or severe deformities depending on their correction power. Nevertheless, they all correct only the coronal and/or sagittal plane deformity. Just a handful known axial malrotation that exists in most HV cases. This is one possible factor could be source recurrence an operated as it has been described. We describe new technique which simultaneously corrects metatarsal internal...

Background: The proximal oblique sliding closing wedge osteotomy (POSCOW) technique was developed to address moderate severe hallux valgus deformity. We present a retrospective multicenter study analyze the midterm radiological and clinical outcomes of patients treated with this type fixed plates. Materials Methods: One hundred forty-four (187 feet) were operated on between May 2005 June 2010 in 2 separate centers. Inclusion criteria symptomatic incongruent deformity, no significant...

Hallux valgus deformity consists of a lateral deviation the great toe, metatarsus varus, and pronation first metatarsal. Most osteotomies only correct but not Persistent postoperative has been shown to increase recurrence have worse functional outcomes. The proximal rotational metatarsal osteotomy (PROMO) technique reliably corrects varus through stable osteotomy, avoiding fusing any healthy joints. objective this research is show prospective series PROMO technique.Twenty-five patients (30...

Hip fractures in the elderly individuals are a complex problem. Our objective was to determine whether orthogeriatric treatment is effective terms of reducing length hospital stay, morbidity, and mortality patients with hip fracture compared orthopedic (traditional) treatment. From July 2009 May 2011, older than 65 years were followed prospectively. They co-treated by geriatric teams. This cohort retrospective from January 2007 June that managed surgery team only. Epidemiology, pre-...

The purpose of this study is to translate, culturally adapt, and validate the VISA-A questionnaire for Chilean Spanish speakers with Achilles tendinopathy (AT), which has been originally developed English-speaking population. According guidelines published by Beaton et al., was translated adapted patients in six steps: initial translation, synthesis back expert committee review, test pre-final version (cohort n = 35), development VISA-A-CH. resulting tested validity on 60 patients: 20...

Background: Hallux valgus deformity consists of a lateral deviation the great toe, metatarsus varus, and pronation first metatarsal. Most osteotomies only correct but not Persistent postoperative has been shown to increase recurrence have worse functional outcomes. The proximal rotational metatarsal osteotomy (PROMO) technique reliably corrects varus through stable osteotomy, avoiding fusing any healthy joints. objective this research is show prospective series PROMO technique. Methods:...

Background: Tibialis posterior tendon transfer is performed when loss of dorsiflexion has to be compensated. We evaluated the circumtibial (CT), above-retinaculum transmembranous (TMAR), and under-retinaculum (TMUR) gliding resistance foot kinematics in a cadaveric model during ankle range motion (ROM). Methods: Eight foot-ankle distal tibia specimens were dissected free soft tissues on proximal end, applying an equivalent force 50% stance phase every tendon, except for Achilles tendon....

Background: The multiplier method (MM) is frequently used to predict limb-length discrepancy and timing of epiphysiodesis. traditional MM uses complex formulae requires a calculator. A mobile application was developed in an attempt simplify streamline these calculations. We compared the accuracy speed using pencil paper technique with that Multiplier App (MA). Methods: After attending training lecture hands-on workshop on MA, 30 resident surgeons were asked apply MA at different weeks their...

Side-to-side tenorrhaphy is increasingly used, but its mechanical performance has not been studied.Two porcine flexor digitorum tendon segments of equal length (8 cm) and thickness (1 were placed side by side. Eight tenorrhaphies (involving sixteen tendons) performed with each four suture techniques (running locked, simple eight, vertical mattress, pulley suture). The resulting constructs underwent cyclic loading on a tensile testing machine, followed monotonically increasing load if failure...

Proximal rotational metatarsal osteotomy (PROMO) is a technique that allows the surgeon to correct varus and pronation of first observed in most patients with hallux valgus deformity. Persistent recognized recurrence factor for operatively treated valgus. The indication this mild-moderate deformity (i.e., intermetatarsal angle <18° <40°) which present. (Note according literature, 10% 20% do not have pronation.) PROMO performed via single proximal oblique incision. Following completion...

Background: Lisfranc injuries represent a spectrum of trauma from high-energy lesions, with significant instability the midfoot, to low-energy subtle subluxations or without gross displacement. Recently, treatment options that allow for physiologic fixation this multiplanar joint are being evaluated. The purpose study was analyze stability cadaveric injury model fixed novel suture-augmented neoligamentplasty in comparison traditional transarticular screw construct. Methods: Twenty-four...

Background: Hallux valgus (HV) treatment is continuously evolving, and no definitive can be recommended. Osteotomies are the main surgical choice for these deformities, but clear role soft tissue procedures available. Objective: To perform a retrospective comparison of radiographic clinical outcomes 2 groups patients with severe HV operated same osteotomy technique differing on type lateral release. Methods: Two symptomatic moderate to deformities were proximal metatarsal osteotomy, which...

The most common methods for assessing severity of hallux valgus deformity and the effects an operative procedure are angular measurements in weightbearing radiographs, specifically angle intermetatarsal (IMA). Our objective was to analyze interobserver variability patients a new called "angle be corrected" (ATC), compare its capacity differentiate between different deformities against IMA.We included 28 symptomatic with 48 foot x-rays. Three trained observers measured 1 2 IMA ATC. We then...

Dome osteotomy (DO) can be utilized for the correction of coronal plane deformities distal tibia. With regard to alternative open or closing wedge techniques, it allows massive without disadvantages needing a bone graft shortening tibia, respectively. The center rotation is planned at deformity. DO best delineated using plate as compass with 3 cm radius. Once tibia and fibula are performed, adjustable possible until attempted achieved, while preserving contact. Reliable stability achieved...

Background Medial column internal rotation in hallux valgus (HV) can be measured using weight-bearing computed tomography (WBCT). Anteroposterior foot radiographs’ (WBXR) ability to estimate medial HV was evaluated comparing these measurements with those obtained from WBCT. Methods Three observers WBCT and WBXR of 33 feet twice. classified into 3 levels according findings. Intra- interobserver reliability were for WBCT, addition WBXR-WBCT correlation. Results intraobserver agreement...

No clear guideline or solid evidence exists for peroneal tendon tears to determine when repair, resect, perform a tenodesis on the damaged tendon. The objective of this study was analyze mechanical behavior cadaveric tendons artificially and tested in cyclic failure mode. hypothesis that no would be observed phase.Eight long leg specimens were specially designed frame. A longitudinal full thickness defect created, 3 cm length, behind tip fibula, compromising 66% visible width tendons. Cyclic...