Potential benefits include a reduced incidence of wound complications, faster return to employment and normal footwear. There are no studies published regarding the results of minimally invasive dorsal cheilectomy. Thirty eight patients with painful grade I hallux rigidus underwent dorsal cheilectomy between April 2006 and June 2010. Minimally invasive cheilectomy (MIC) was introduced in August 2009. AOFAS scores, satisfaction, return to normal shoes and employment were assessed.Minimally Invasive foot surgery remains controversial
Patients and Methods
Minimally Invasive foot surgery remains controversial. Potential benefits include a reduced incidence of wound complications, faster return to employment and normal footwear. There are no studies published regarding the results of minimally invasive dorsal cheilectomy. Thirty eight patients with painful grade I hallux rigidus underwent dorsal cheilectomy between April 2006 and June 2010. Minimally invasive cheilectomy (MIC) was introduced in August 2009. AOFAS scores, satisfaction, return to normal shoes and employment were assessed.Introduction
Patients and Methods
We have analysed the early functional results in patients who have had the NRG total knee replacement at the Princess Elizabeth Orthopaedic Centre, Exeter. This is a new modern design designed for high function. We analysed a total of 54 knees (47 patients) operated between September 2005 and October 2007. The follow up ranged from 9 to 25 months averaging 16 months. Thirty eight percent of the patients were male and 62% female. The age of the patients ranged from 42 to 90 (average 72). The Oxford knee score and satisfaction score were documented at 6 weeks, 6 months, I year and 2 years. The range of movement was also noted. Ninety eight patients had the highest satisfaction score of 3 at the one year follow up. The average Oxford knee score pre-operatively was 45 and the average was 30 at 6 weeks and 6 months and 20 at 1 and 2 year follow up. Seventy four percent of the patients had post operative knee flexion of more than 100 degrees. The average post operative value added flexion was 14 degrees. We conclude the early results of the NRG knee replacement are very encouraging with very good patient satisfaction scores and post operative flexion of the knee.
To evaluate the long term functional and the oncological outcomes of patients who underwent scapulectomy as a limb saving procedure for various tumours of the scapula. A retrospective study was done in twenty-five patients who underwent scapulectomy for various tumours between 1989 and 2005. We describe twenty-three patients of scapular tumours who were followed up for a minimum of two years after surgery. Nineteen patients had malignant neoplasms of which chondrosarcoma was commonest, followed by Ewing’s sarcoma. Surgical staging was done using Enneking’s system; with stage II B being the commonest. Eight patients underwent subtotal scapulectomy of Malawer Type IIA and fifteen patients underwent total scapulectomy (Type III A). All patients with Ewing’s and Osteosarcoma received neoadjuvant chemotherapy. With a follow-up ranging from 25–202 months, functional prognosis and oncological outcomes were evaluated for all patients. Two patients had superficial wound infections requiring antibiotics and one had skin necrosis requiring skin cover. Three patients died of pulmonary metastasis and the fourth patient died of local recurrence complicated by multiple metastasis. Functional results were analysed using Musculoskeletal Tumour Society scoring system. The Kaplan Meier 5-year survival computed in 19 patients with malignant tumours was 75.9%. Scapulectomy is a more realistic option for bone and soft tissue tumours around shoulder girdle. It permits a curative, non-ablative, alternative to forequarter amputation in carefully selected patients.
