The advantage of using SPECT-CT over conventional bone scanning is that it has the promise of linking the multiplanar reconstructional images of CT with the functional analysis of bone scintigraphy. It delivers information regarding new pathology and is regarded as more sensitive and specific. We present our experience of use of the SPECT-CT in the analysis of continued or recurrent pain post-foot and ankle arthrodesis. A retrospective analysis of all post-arthrodesis patients with continued pain who underwent SPECT-CT was carried out. The scans and notes from clinical examination were evaluated. The request for the scan was at the clinician's discretion and was reserved for presentations where the diagnosis was unclear on clinical and radiological grounds.Introduction
Methods and Materials
Salvage procedures on the 1st MTPJ following failed arthroplasty, arthrodesis or hallux valgus surgery are difficult and complicated by bone loss. This results in shortened first ray and transfer metatarsalgia. We present our experience of using tri-cortical interposition grafts to manage this challenging problem. Between 2002 and 2009 our department performed 21 1st MTPJ arthrodeses using a tri-cortical iliac crest interposition graft. Surgical fixation was achieved with a compact foot plate. We performed a retrospective review from the medical notes and radiographs along with American Foot and Ankle scores which were collected prospectively. We analysed the following parameters: time to radiological union, requirement for further surgery, lengthening of 1st ray and any post operative complications.Background
Methods
To discover how the management of traumatic anterior shoulder dislocation in the young patient (17-25) has changed, if at all, over the past six years. The same postal questionnaire was sent in 2002 and 2009 to 164 shoulder surgeons. Questions were asked about initial reduction, investigation undertaken, timing of surgery, preferred stabilisation procedure, period of immobilisation and rehabilitation programme instigated in first-time and recurrent traumatic dislocators.Aims
Methods
