Aims. Total knee arthroplasty (TKA) may provoke
Aims.
The June 2023 Foot &
The April 2024 Foot &
The February 2024 Foot &
The October 2023 Foot &
Aims. The rationale for exacting restoration of skeletal anatomy after unstable
The August 2024 Foot &
The August 2023 Foot &
Aims. To describe outcome reporting variation and trends in non-pharmacological randomized clinical trials (RCTs) of distal tibia and/or
Aims. The aim of this study was to compare the functional and radiological outcomes and the complication rate after nail and plate fixation of unstable fractures of the
Aims. Malreduction of the syndesmosis has been reported in up to 52% of patients after fixation of
Aims. The primary aim of this study was to address the hypothesis that fracture morphology might be more important than posterior malleolar fragment size in rotational type posterior malleolar
The December 2015 Foot &
The June 2015 Foot &
The April 2015 Foot &
The December 2013 Foot &
The August 2013 Foot &
The October 2015 Foot &
The June 2013 Foot &
The August 2015 Foot &
Sporting injuries around the
Aims. The aim of this prospective study was to evaluate the intermediate-term
outcomes after revision anatomical
The December 2012 Foot &
The October 2013 Foot &
The August 2012 Foot &
The June 2012 Foot &
Pigmented villonodular synovitis (PVNS) is a
rare benign disease of the synovium of joints and tendon sheaths, which
may be locally aggressive. We present 18 patients with diffuse-type
PVNS of the foot and
Aims. The fundamental concept of open reduction and internal fixation
(ORIF) of
The April 2013 Foot &
The October 2012 Foot &
Background: Injuries to
Aims. In approximately 20% of patients with
The use of autograft bone is the best option
when undertaking a procedure that requires bone graft because it
is osteogenic, osteoconductive and osseo-inductive. Pain, morbidity
and complications associated with harvesting iliac or non-iliac
sites occur in between 6% and 30% of cases. An alternative source
of graft with possibly a lower morbidity is the intramedullary canal.
In this study, 28 patients undergoing 30 arthrodesis procedures
on the hindfoot had a mean of 48 cm. 3 . (43 to 50) of bone
harvested locally from the hindfoot or the tibial shaft by antegrade or
retrograde reaming. No patient sustained a fracture of the calcaneum,
talus or tibia. There was no morbidity except for one complication
when the reamer breached the medial tibial cortex. This healed uneventfully. . This method of using the reamer–irrigator–aspirator system is
an extension of the standard technique of intramedullary reaming
of the lower limb: it produces good-quality bone graft with viable
growth factors consistent with that of the iliac crest, and donor
site morbidity is low. This is an efficient method of obtaining
autologous bone for use in arthrodesis of the
We assessed the long-term (20 years) outcome
of closed reduction and immobilisation in 19 patients with an isolated
fracture of the posterior malleolus of the
Abstract. Objectives. This abstract provides an update on the Open
Swelling following an
Background. Lateral
Introduction. Fibula contributes to weight bearing and serves as a lateral buttress to the talus. Fibular shortening leads to
Introduction. Chronic
Introduction. The management of open or unstable
Fragility
The December 2022 Foot &
Background. In fixation of the fibula in
Aims. This systematic review aimed to summarize the full range of complications reported following
The February 2023 Foot &
The December 2023 Foot &
The
Aims. Accurate identification of the
Aims. The Manchester-Oxford Foot Questionnaire (MOxFQ) is an anatomically specific patient-reported outcome measure (PROM) currently used to assess a wide variety of foot and
Aims.
Aims. The aim of this study was to capture 12-month outcomes from a representative multicentre cohort of patients undergoing total ankle arthroplasty (TAA), describe the pattern of patient-reported outcome measures (PROMs) at 12 months, and identify predictors of these outcome measures. Methods. Patients listed for a primary TAA at 19 NHS hospitals between February 2016 and October 2017 were eligible. PROMs data were collected preoperatively and at six and 12 months including: Manchester-Oxford Foot and
The purpose of this study was to define the risk and incidence of eventual ankle arthroplasty or fusion after documented
Aims. Triplane
One assumed function of Total Ankle Replacement (TAR) is that by maintaining
Aims. The primary aim of this study was to present the mid-term follow-up of a multicentre randomized controlled trial (RCT) which compared the functional outcome following routine removal (RR) to the outcome following on-demand removal (ODR) of the syndesmotic screw (SS). Methods. All patients included in the ‘ROutine vs on DEmand removal Of the syndesmotic screw’ (RODEO) trial received the Olerud-Molander
Aims. Implant failure has become more common as the number of primary total ankle arthroplasties (TAAs) performed has increased. Although revision arthroplasty has gained attention for functional preservation, the long-term results remain unclear. This study aimed to assess the long-term outcomes of revision TAA using a mobile-bearing prosthesis in a considerably large cohort; the risk factors for failure were also determined. Methods. This single-centre retrospective cohort study included 116 patients (117 ankles) who underwent revision TAA for failed primary TAA between July 2000 and March 2010. Survival analysis and risk factor assessment were performed, and clinical performance and patient satisfaction were evaluated preoperatively and at last follow-up. Results. The mean duration from initial revision TAA to last follow-up was 15.0 years (SD 3.0; 11.2 to 20.5). The cumulative survival rates of the revised
Aims. To identify a core outcome set of postoperative radiographic measurements to assess technical skill in
The April 2023 Foot &
Syndesmotic
Aims. Treatment of Weber B
The June 2024 Foot &
Aims. Arthroplasty has become increasingly popular to treat end-stage
Aims.
Ligament integrity is directly associated with
Aims. The aim of this study was to compare the longer-term outcomes of operatively and nonoperatively managed patients treated with a removable brace (fixed-angle removable orthosis) or a plaster cast immobilization for an acute
Diabetes mellitus is a risk factor for complications after operative management of
The incisura fibularis (IF) provides intrinsic stability to the
Aims. Posterior malleolar (PM) fractures are commonly associated with
Aim.
Background.
Abstract. The lateral ligaments of the
Aims. This study reports updates the previously published two-year clinical, functional, and radiological results of a group of patients who underwent transfibular total ankle arthroplasty (TAA), with follow-up extended to a minimum of five years. Methods. We prospectively evaluated 89 patients who underwent transfibular TAA for end-stage osteoarthritis. Patients’ clinical and radiological examinations were collected pre- and postoperatively at six months and then annually for up to five years of follow-up. Three patients were lost at the final follow-up with a total of 86 patients at the final follow-up. Results. A total of 86 patients were evaluated at a mean follow-up of 65.4 months (60 to 90). At five-year follow-up, statistically significant improvements (p < 0.001) were found in the mean American Orthopaedic Foot &
The foot and
Background. Supination-external rotation (SER) injuries make up 80% of all
Introduction.
Aims. Arthroscopic microfracture is a conventional form of treatment for patients with osteochondritis of the talus, involving an area of < 1.5 cm. 2. However, some patients have persistent pain and limitation of movement in the early postoperative period. No studies have investigated the combined treatment of microfracture and shortwave treatment in these patients. The aim of this prospective single-centre, randomized, double-blind, placebo-controlled trial was to compare the outcome in patients treated with arthroscopic microfracture combined with radial extracorporeal shockwave therapy (rESWT) and arthroscopic microfracture alone, in patients with ostechondritis of the talus. Methods. Patients were randomly enrolled into two groups. At three weeks postoperatively, the rESWT group was given shockwave treatment, once every other day, for five treatments. In the control group the head of the device which delivered the treatment had no energy output. The two groups were evaluated before surgery and at six weeks and three, six and 12 months postoperatively. The primary outcome measure was the American Orthopaedic Foot and
Introduction. Deltoid ligament reconstruction (DLR) is an important factor in the consideration of pes planus deformity. There is little evidence in the literature determining whether DLR could mitigate the risk of patients acquiring flat foot postoperatively following deltoid ligament injury. Aim. Our objective was to establish if there was a difference in pes planus deformity in patients who underwent DLR during their
This study aimed to examine the effect of high tibial osteotomy (HTO) on the
Introduction. Positive reports from implant designer centres on the use of fibular nails in the complex
Aims. To systematically review qualitative studies of patients with distal tibia or
Introduction. Following publication of the Ankle Injury Management (AIM) trial in 2016 which compared the management of
Background. Masses are not uncommon in the foot and
Background. Total ankle replacements (TARs) are becoming increasingly more common in the treatment of end stage
Abstract. Objectives. The fidelity of a 3D model created using image segmentation must be precisely quantified and evaluated for the model to be trusted for use in subsequent biomechanical studies such as finite element analysis. The bones within the
Aims. Tenosynovial giant cell tumour (TGCT) is one of the most common soft-tissue tumours of the foot and
Aims.
Abstract. Aim. To identify the difference in infection rates in
Fragility
Aims. To compare the cost-utility of removable brace compared with cast in the management of adult patients with
Introduction. Open fragility
Aims. To assess the characteristic clinical features, management, and outcome of patients who present to orthopaedic surgeons with functional dystonia affecting the foot and
Introduction. Osteoarthritis in the foot and