Comparison of standard screw fixation versus suture button fixation in Lisfranc ligament injuries.

Background: The standard operative treatment for Lisfranc injuries is to openly reduce them and use screw fixation. Due to the current trend of applying a more physiologic fixation and decreasing the need for screw removal, a recent interest has developed in suture-button fixation. The purpose of this study was to compare the suture button technique for Lisfranc fracture fixation to the traditional interfragmentary screw fixation.

Safety of ankle trans-syndesmotic fixation.

Background: Ankle syndesmosis fixation is often employed with the utilization of many variable methods and implants. Complications secondary to trans-syndesmotic fixation have been described, yet the proximity of a single trans-syndesmotic screw to the perforating branch of the peroneal artery (PBPA) has not.

Materials And Methods: Sixteen cadaveric legs received a single trans-syndesmotic screw using standard AO technique.

The complicated Jones fracture, including revision and malalignment.

Using radiographs culled over a 33-month period, the treatment, complications, revision, and rehabilitation of complicated Jones fractures and stress fractures involving the proximal diaphysis are examined. Although the non-operative approach remains viable, the exigencies and desires of the athletic and leg-based working population require sooner-rather-than-later return to play or work. Fortunately, these needs can be matched by the available and functioning orthopedic practice of intramedullary screw fixation.

Comparison of a continuous temperature-controlled cryotherapy device to a simple icing regimen following outpatient knee arthroscopy.

This prospective, randomized study compared postoperative pain control with use of a continuous temperature-controlled cryotherapy system versus a traditional ice therapy regimen following outpatient knee arthroscopy. Patients with unilateral knee pathology scheduled for outpatient arthroscopic surgery were included. Patients with major ligament reconstructions were excluded.

Endoscopic bony and soft-tissue decompression of the retrocalcaneal space for the treatment of Haglund deformity and retrocalcaneal bursitis.

Background: The traditional operative management of Haglund deformity and retrocalcaneal bursitis consists of an open excision of the inflamed bursa, resection of the posterosuperior calcaneal tuberosity, and debridement of the Achilles tendinopathy. In an effort to reduce morbidity and recovery time, an endoscopic technique was used for the management of this condition.

Methods: Thirty consecutive patients (32 heels) who had retrocalcaneal bursitis unrelieved by nonoperative measures were treated with the endoscopic technique.

The hallucal sesamoid complex.

The hallucal sesamoids are vitally important to normal weight bearing and foot mechanics. The sesamoid complex of the hallux normally transmits up to 50% of body weight and during push-off can transmit loads >300%. These high stresses may lead to both acute and chronic pathologies of the hallucal sesamoids.

Repeat patellar tendon rupture in a child.

In summary, we present the first published case of a patellar tendon midsubstance rupture in an otherwise healthy 9-year-old with repeat rupture at age 10.