Technique Tricks for the Gleich-Koutsogiannis Surgical Procedure for Correction of the Adult Acquired Flatfoot.

Gleich-Koutsogiannis is a widely known extra-articular closing calcaneal osteotomic technique for correction of the adult flatfoot. Absolute care must be observed during each procedural step to avoid undesirable drawbacks, such as nerves and tendons lesions, incorrect fixation, and hardware painful prominence. It is the purpose of this report to introduce tricks to critical steps in order to improve the technique and minimize potential surgical complications.

Smoking Effects in a Distal Tibia Fracture Treated With External Fixation.

Distal tibia fractures are one of the most demanding injuries in orthopaedic traumatology, due mainly to frequent coexistence of covering tissue problems and poor blood supply. Smoking exerts a detrimental effect on fracture healing, increasing the time to union. We report the case of a 60-year-old heavy-smoker (about 20 cigarettes a day) with a distal tibia fracture that necessitated synthesis with an external fixator to maximize the healing process, which nevertheless required more than one and half year to heal.

Mason type 3 radial head fractures: proposal of a synthesis technique using bioabsorbable thread.

Multifragmentary fractures of the radial head (Mason type 3) are challenging for the surgeon. They are usually treated by means of complete removal of the injured head and sometimes by implantation of a metal prosthesis. Indeed, the bone fragments are often too small to allow stabilization through screws or even wires.

Asymptomatic Congenital Absence of Lateral Pedal Rays.

Complete absence of 1 or more pedal rays is a rare condition. In the present report, the case of an adult male with complete congenital absence of his right fourth and fifth pedal rays is described. The condition had been asymptomatic until he had sustained an acute third metatarsal fracture and was satisfactorily treated with cast immobilization.

Watch out for luxatio erecta of the shoulder.

Traumatic inferior dislocation of the shoulder (also termed "luxatio erecta") is a very rare injury. The correct diagnosis may be overlooked and results after reduction can often result in significant morbidity of the affected joint. It is described in a clinical case in which a male adult reported a luxatio erecta that was correctly diagnosed and reduced with uneventful recovery.

Targeting the Plantar Fascia for Corticosteroid Injection.

Plantar fasciitis is often a difficult condition to treat. It is related to repetitive strain of the fascia at its attachment to the heel bone. This condition quite often appears with the concomitant presence of a plantar calcaneal heel spur.

Unicompartmental knee prosthetization: Which key-points to consider?

Unicompartmental knee arthroplasty (UKA) has evolved into a suitable option for diseased knees that cannot be managed with arthroscopic treatment and at the same time are not good candidates for total knee replacement. Since meticulous execution of the surgical technique is essential to optimizing UKA outcome, some procedural key-points are mandatory. Templates (phantoms) are then used to size the required prosthetic component (using these radiographs.

Acute compartment syndrome of the foot in a 17-year-old boy.

Acute compartment syndrome is both a life and limb threatening surgical emergency, caused by an increase in compartment contents due to either trauma or surgery. We illustrate a foot compartment syndrome, clinically diagnosed, that took place after direct injury during a football match. Compartments release through fasciotomies promptly relieved symptoms.

[Epicondylitis: etiology, pathogenesis and therapy].

Epicondilites are pathologies poorly understood from the aetiopathogenetic point of view. In this regard, many hypotheses have been considered and numerous anatomical structures are involved. Current therapeutic options are either conservative or surgical.

The handshake technique: proposal of a closed manual reduction technique for Colles' wrist fracture.

Colles' fracture is a distal radius injury, with dorsal tilt of the distal radial fracture fragment. Its typical treatment involves reduction and plaster cast immobilization to restore its anatomical position. Sometimes, reduction maneuver may be difficult with poor outcomes, requiring repeated reduction maneuvers or eventual surgical treatment.

A clinical picture of chronic polyarticular tophaceous gout.

An unusual picture of polyarticular tophaceous gout is reported. It concerns a 61-year-old patient with tophaceous deposits for 30 years. Descriptive clinical and radiographic images are furnished.