Percutaneous Surgery for Metatarsalgia and the Lesser Toes.

The traditional open surgical options for the treatment of metatarsalgia and lesser toe deformities are limited and often result in unintentional stiffness. The use of percutaneous techniques for the treatment of metatarsalgia and lesser toe deformities allows a more versatile and tailor-made approach to the individual deformities. As with all percutaneous techniques, it is vital the surgeon engage in cadaveric training from surgeons experienced in these techniques before introducing them into his/her clinical practice.

Percutaneous Surgery for Severe Hallux Valgus.

Severe hallux valgus is a challenge to treat. If the basal osteotomy is a well known surgery for severe deformity, the chevron osteotomy is usually used in mild to moderate deformity. With a accurent fixation the chevron can also be used in severe deformity.

Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: a meta-analysis of RCTs.

Background: Plantar fasciitis is the most common cause of heel pain. It may remain symptomatic despite conservative treatment with orthoses and analgesia. There is conflicting evidence concerning the role of extracorporeal shock wave therapy (ESWT) in the management of this condition.

A biomechanical comparison of locking and nonlocking plates for the fixation of calcaneal fractures.

Background: Locking plate systems have been developed in an attempt to increase the strength of fracture fixation and, in so doing, allow earlier mobilization and rehabilitation. The purpose of our study was to compare the mechanical integrity of the locking plate and traditional nonlocking plate fixation for calcaneal fractures in a cadaver model. Our hypothesis was that the locking plate construct provides stronger fixation than the nonlocking plate construct.

Technique Tip: Modification of DuVries's lesser metatarsophalangeal joint arthroplasty to improve joint mobility.

An interposition arthroplasty for the treatment of pain and stiffness in the second metatarsophalangeal joint (MTPJ) is presented. The procedure is a modification of DuVries's lesser MTPJ arthroplasty and is specifically intended to improve limited dorsiflexion not addressed by the original procedure.

Investigation of incidence of superficial peroneal nerve injury following ankle fracture.

The aim of this study was to investigate the incidence of superficial peroneal nerve (SPN) injury following ankle fracture and to establish whether this differed between those treated by open reduction and internal fixation (ORIF) and those treated nonoperatively in a cast. Two hundred eighty patients who had been treated for an ankle fracture either surgically (ORIF group) or nonoperatively (cast group) were identified. Patients were invited for review, assessed using the AOFAS scoring system, and examined for any evidence of SPN injury.