There is a general assumption amongst many patients – and some Surgeons- that 1. Metatarsophalangeal Joint Arthrodesis “in neutral plantigrade position” will postoperatively restrict the choice of shoes and heels in particular. To our knowledge no studies have been carried out to assess this further. A review of a single Surgeon's series of 25 patients and Radiographs following neutral 1.MTPJ Arthrodesis after 14 – 38 months follow up to assess the type of shoe and height of heel comfortably worn.Background
Methods
Hydroxyapatite (HA) coated femoral stems require a press fit for initial stability prior to osteointegration occurring. However this technique can lead to perioperative femoral fracture. 506 consecutive patients under 72 years who underwent primary total hip replacements (THR) under 72 years were investigated for perioperative femoral fractures. All patients were independently assessed pre- and post-operatively in a research clinic. Assessment was made by Merle d'Aubigné and Postel (MDP) hip scores and radiographs. Between 1995 and 2001 patients were randomised to a partially HA coated, Osteonics Omnifit or fully HA coated Joint Replacement Instrumentation Furlong stem. Between 2001 and 2004 all patients received an Anatomique Benoist Girard (ABG II) stem partially coated. Fractures were identified from check radiographs and operative notes. The type of fracture was classified according to the modified Vancouver classification. The incidence of revision was also recorded.Introduction
Materials and Methods
