The December 2022 Foot &
The February 2023 Foot &
The December 2023 Foot &
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
The April 2023 Foot &
The June 2024 Foot &
Aims. Total knee arthroplasty (TKA) may provoke
Aims. The primary aim of this prospective, multicentre study is to describe the rates of returning to golf following hip, knee,
Aims. The Vantage Total
Abstract. Objectives. This abstract provides an update on the Open
Swelling following an
Background. Lateral
Aims.
Aims. The purpose of this study was to assess the success rate and functional outcomes of bone grafting for periprosthetic bone cysts following total ankle arthroplasty (TAA). Additionally, we evaluated the rate of graft incorporation and identified associated predisposing factors using CT scan. Methods. We reviewed a total of 37
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
Aims. Computer-assisted 3D preoperative planning software has the potential to improve postoperative stability in total hip arthroplasty (THA). Commonly, preoperative protocols simulate two functional positions (standing and relaxed sitting) but do not consider other common positions that may increase postoperative impingement and possible dislocation. This study investigates the feasibility of simulating commonly encountered positions, and positions with an increased risk of impingement, to lower postoperative impingement risk in a CT-based 3D model. Methods. A robotic arm-assisted arthroplasty planning platform was used to investigate 11 patient positions. Data from 43 primary THAs were used for simulation. Sacral slope was retrieved from patient preoperative imaging, while angles of hip flexion/extension, hip external/internal rotation, and hip abduction/adduction for tested positions were derived from literature or estimated with a biomechanical model. The hip was placed in the described positions, and if impingement was detected by the software, inspection of the impingement type was performed. Results. In flexion, an overall impingement rate of 2.3% was detected for flexed-seated, squatting, forward-bending, and criss-cross-sitting positions, and 4.7% for the ankle-over-knee position. In extension, most hips (60.5%) were found to impinge at or prior to 50° of external rotation (pivoting). Many of these impingement events were due to a prominent ischium. The mean maximum external rotation prior to impingement was 45.9° (15° to 80°) and 57.9° (20° to 90°) prior to prosthetic impingement. No impingement was found in standing, sitting, crossing
The June 2023 Foot &
The April 2024 Foot &
Background. In fixation of the fibula in
Aims. This systematic review aimed to summarize the full range of complications reported following
The February 2024 Foot &
The October 2023 Foot &
The
Aims.
Aims. The rationale for exacting restoration of skeletal anatomy after unstable
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
Syndesmotic
The August 2024 Foot &
Aims. Pneumatic tourniquets are often used during the surgical treatment of unstable traumatic
The August 2023 Foot &
Aims. Treatment of Weber B
Aims. To identify a core outcome set of postoperative radiographic measurements to assess technical skill in
Aims.
Aims. Arthroplasty has become increasingly popular to treat end-stage
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
Aims. This study aimed to compare the outcomes of two different postoperative management approaches following surgical fixation of
Aim.
Abstract. The lateral ligaments of the
Background.
The foot and
Background. Supination-external rotation (SER) injuries make up 80% of all
Introduction.
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
Aims. To describe outcome reporting variation and trends in non-pharmacological randomized clinical trials (RCTs) of distal tibia and/or
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
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
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.
Abstract. Aim. To identify the difference in infection rates in
Fragility
Introduction. Open fragility
Aims. Tenosynovial giant cell tumour (TGCT) is one of the most common soft-tissue tumours of the foot and
Introduction. Osteoarthritis in the foot and
Aims. To compare the cost-utility of removable brace compared with cast in the management of adult patients with
Background. Procedural sedation (PS) requires two suitably qualified clinicians and a dedicated monitored bed space. We present the results of intra-articular haematoma blocks (IAHB), using local anaesthetic, for the manipulation of closed
Aims. To assess the characteristic clinical features, management, and outcome of patients who present to orthopaedic surgeons with functional dystonia affecting the foot and
One-fourth of all ankle trauma involve injury to the syndesmotic
Introduction. Aneurysmal bone cysts commonly found in lower limbs are locally aggressive masses that can lead to bony erosion, instability and fractures. This has major implications in the lower limbs especially in paediatric patients, with potential growth disturbance and deformity. In this case series we describe radical aneurysmal bone cyst resection and lower limb reconstruction using cable transport and syndesmosis preservation. Materials & Methods. Case 1 - A 12-year-old boy presented with a two-week history of atraumatic right
Background.
Background. Open or arthroscopic
Abstract. Objectives.
Background. Charcot neuroarthropathy is a destructive disease characterized by progressive bony fragmentation as a result of the isolated or accumulative trauma in patients with decreased sensation that manifests as dislocation, periarticular fractures and instability. Although amputation can be a reasonable cost economic solution, many patients are willing to avoid that if possible. We explored here one of the salvage procedures. Methods. 23 patients with infected ulcerated unstable Charcot neuroarthropathy of the
Abstract. Background. Distinction between foot and
Aims: To show that
Background. Tenosynovial giant cell tumour (TGCT) is a benign proliferative disease affecting synovial membranes. There are two forms, localised and diffuse, which although histologically similar are managed differently. It is locally invasive and is treated in most cases by operative excision. The aim of this study was to assess outcomes from the largest single-centre experience to date in patients with this condition. Methods. A retrospective analysis of 123 cases was performed in patients treated between 2003 and 2019 with TGCT of the foot and/or
To be able to assess the biomechanical and functional effects of ankle injury and disease it is necessary to characterise healthy
Aims. Malreduction of the syndesmosis has been reported in up to 52% of patients after fixation of
Introduction.
We present the results of
Recently, several smartphone applications (apps) have been developed and validated for
Background: Prophylactic taping is commonly used to prevent ankle injuries during sports. However unnatural constraint of the
Introduction. Anterior
We performed a retrospective study to assess the long-term outcome of non-augmented anatomical direct repair of the lateral
Introduction.
Abstract. Objectives. Currently, the golden standard for the management of
Introduction.
Fractures of the
Introduction. Recent advances in minimally invasive surgery and improved post-operative pain management make it possible to perform major foot/