Endosseous Fixation Device for Lapidus Arthrodesis: Technique, Early Experience, and Comparison With Crossed Screw Fixation.

First metatarsal cuneiform joint arthrodesis has been commonly used since the early 1900s for definitive treatment of a variety of conditions involving the medial column of the foot. Early applications of this procedure resulted in a relatively high rate of complications, including malunion and nonunion. We retrospectively examined a novel method of fixation involving an endosseous implant with a nonporous, rough exterior surface and compared it with the traditional crossed screw fixation, considered the standard of care for the procedure.

Posterior tibial artery pseudoaneurysm identified subsequent to surgical wound dehiscence.

Unlabelled: The development of a pseudoaneurysm of the posterior tibial artery is a rare event. In this article, we describe the case of a 63-year-old female with rheumatoid arthritis, who initially presented with a symptomatic subcutaneous nodule localized to the medial aspect of the right ankle. After excision of the subcutaneous nodule, she failed to heal the surgical wound and, eventually, the pseudoaneurysm of the posterior tibial artery was identified.

The modified Mau-Reverdin double osteotomy for correction of hallux valgus: a retrospective study.

Unlabelled: The deformity of hallux valgus is multifactorial, albeit primarily in the transverse plane. In order to achieve an anatomic correction, a surgical technique must be able to address the deformity with consistent outcomes. The purpose of the present study was to evaluate a technique designed to reposition the first metatarsal bone, metatarsophalangeal joint, and sesamoid apparatus in an anatomic and biomechanical corrected position for correction of hallux valgus deformity.

Minimally invasive Morton's intermetatarsal neuroma decompression.

Background: We present the results of an alternative technique for decompression of a Morton intermetatarsal neuroma that is minimally invasive and does not require endoscopic instrumentation.

Methods: Seventeen nerve decompressions were performed in 14 patients using an instrument designed to release the transverse carpal ligament for carpal tunnel syndrome. Nine women and five men (3 bilateral) had the procedure performed.

Talar dome fracture repaired using bioabsorbable fixation.

We describe a man with an acute osteochondral defect in the lateral talar dome associated with a supination-adduction-type ankle fracture. The osteochondral defect was readily visible on plain film radiographs, and magnetic resonance imaging was ordered to determine the full extent of soft-tissue and articular injury. It was discovered that the patient had a stage IV lesion of the talar dome, with complete inversion of the fragment, and rupture of the anterior talofibular and calcaneofibular lateral ankle ligaments.