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
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
Aims.
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 &
Aims. This systematic review aimed to summarize the full range of complications reported following
The February 2024 Foot &
The October 2023 Foot &
Aims.
Aims. The rationale for exacting restoration of skeletal anatomy after unstable
Aims. Triplane
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
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
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
The foot and
Aims. To describe outcome reporting variation and trends in non-pharmacological randomized clinical trials (RCTs) of distal tibia and/or
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
Aims.
Aims. Tenosynovial giant cell tumour (TGCT) is one of the most common soft-tissue tumours of the foot and
Aims. To compare the cost-utility of removable brace compared with cast in the management of adult patients with
Aims. To assess the characteristic clinical features, management, and outcome of patients who present to orthopaedic surgeons with functional dystonia affecting the foot and
Aims. Malreduction of the syndesmosis has been reported in up to 52% of patients after fixation of
We present the results of
We performed a retrospective study to assess the long-term outcome of non-augmented anatomical direct repair of the lateral
Aims. The aims of the study were to analyze differences in surgical and oncological outcomes, as well as quality of life (QoL) and function in patients with
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
Aims. Infected and deformed neuropathic feet and
Aims. The primary objective was to determine the incidence of COVID-19 infection and 30-day mortality in patients undergoing foot and ankle surgery during the global pandemic. Secondary objectives were to determine if there was a change in infection and complication profile with changes introduced in practice. Methods. This UK-based multicentre retrospective national audit studied foot and
Aims. Paediatric triplane fractures and adult trimalleolar
Aims. Gastrocnemius tightness predisposes to musculoskeletal pathology
and may require surgical treatment. However, it is not clear what
proportion of patients with foot and
Aims. To evaluate the donor site morbidity and tendon morphology after harvesting whole length, full-thickness peroneus longus tendon (PLT) proximal to the lateral malleolus for ligament reconstructions or tendon transfer. Methods. A total of 21 eligible patients (mean age 34.0 years (standard deviation (SD) 11.2); mean follow-up period 31.8 months (SD 7.7), and 12 healthy controls (mean age, 26.8 years (SD 5.9) were included. For patients, clinical evaluation of the donor
The October 2014 Foot &
Aims . To assess the effect of high tibial and distal femoral osteotomies
(HTO and DFO) on the pressure characteristics of the
The December 2015 Foot &
The August 2014 Foot &
The June 2015 Foot &
The February 2014 Foot &
The April 2015 Foot &
In this randomised controlled trial, we evaluated
the role of elastic compression using ankle injury stockings (AIS)
in the management of fractures of the
Aims. The aims of this study were to evaluate the morphology of the
The December 2014 Foot &
Aims. The surgical management of
The December 2013 Foot &
Aims. This study assessed the association of classes of body mass index
in kg/m. 2. (classified as normal weight 18.5 kg/m. 2 . to
24.9 kg/m. 2. , overweight 25.0 kg/m. 2 . to 29.9
kg/m. 2. , and obese ≥ 30.0 kg/m. 2. ) with short-term
complications and functional outcomes three to six years post-operatively
for closed
The August 2013 Foot &
Aims. There has been an evolution recently in the management of unstable
fractures of the
The October 2015 Foot &
The incidence of periprosthetic fractures of
the
The June 2013 Foot &
The February 2013 Foot &
Aims. The aim of this study was to present a series of patients with
aseptic failure of a total ankle arthroplasty (TAA) who were treated
with fusion of the hindfoot using a nail. Patients and Methods. A total of 23 TAAs, in 22 patients, were revised for aseptic
loosening and balloon osteolysis to a hindfoot fusion by a single
surgeon (NH) between January 2012 and August 2014. The procedure
was carried out without bone graft using the Phoenix, Biomet Hindfoot
Arthrodesis Nail. Preoperative investigations included full blood
count, CRP and ESR, and radiological investigations including plain
radiographs and CT scans. Postoperative plain radiographs were assessed
for fusion. When there was any doubt, CT scans were performed. Results. The mean follow-up was 13.9 months (4.3 to 37.2). Union occurred
at the tibiotalar joint in 22
The August 2015 Foot &
Aims. The aim of this study was to describe the technique of distraction
osteogenesis followed by arthrodesis using internal fixation to
manage complex conditions of the
Sporting injuries around the
The February 2015 Foot &
Aims. A failed total ankle arthroplasty (TAA) is often associated with
much bone loss. As an alternative to arthrodesis, the surgeon may
consider a custom-made talar component to compensate for the bone
loss. Our aim in this study was to assess the functional and radiological
outcome after the use of such a component at mid- to long-term follow-up. Patients and Methods. A total of 12 patients (five women and seven men, mean age 53
years; 36 to77) with a failed TAA and a large talar defect underwent
a revision procedure using a custom-made talar component. The design
of the custom-made components was based on CT scans and standard
radiographs, when compared with the contralateral
The April 2014 Foot &
The treatment of peri-prosthetic joint infection
(PJI) of the
Aims. The aim of this prospective study was to evaluate the intermediate-term
outcomes after revision anatomical
We present the outcomes in 38 consecutive patients who had total ankle replacement using the
The December 2012 Foot &
Aims. Lifestyle risk factors are thought to increase the risk of infection
after acute orthopaedic surgery but the evidence is scarce. We aimed
to investigate whether smoking, obesity and alcohol overuse are
risk factors for the development of infections after surgery for
a fracture of the
Our study describes the clinical outcome of total ankle replacement (TAR) performed in patients with moderate to severe varus deformity. Between September 2004 and September 2007, 23
The October 2013 Foot &
The August 2012 Foot &
The June 2012 Foot &
Aims. The purpose of this study was to compare the clinical and radiographic
outcomes of total ankle arthroplasty (TAA) in patients with pre-operatively
moderate and severe arthritic varus
Aims. This retrospective cohort study compared the results of vascularised
and non-vascularised anterior sliding tibial grafts for the treatment
of osteoarthritis (OA)of the
Diabetes mellitus is considered an indicator of poor prognosis for acute
We developed the Oxford