Arthrodesis as a salvage for failed proximal interphalangeal joint arthroplasty.

Purpose: To review the rate of fusion, complications, and subjective outcome measures of proximal interphalangeal joint arthrodesis after failed implant arthroplasty.

Methods: We conducted a retrospective review identifying patients from 1990 to 2009 who underwent proximal interphalangeal joint arthrodesis for implant arthroplasty failure. All types of implants were included.

The results of vascularized-free fibular grafts in complex spinal reconstruction.

Study Design: Retrospective review.

Objective: To determine outcomes after anterior or posterior placement of vascularized-free fibular grafts in complex spinal reconstruction for tumor resection and osteomyelitis and to evaluate the results with respect to bony fusion, time to union, and complications.

Summary Of Background Data: Biological reconstruction of segmental defects of the spinal column may be required when multiple vertebrae are resected for tumor or infection.

Postoperative patient falls on an orthopedic inpatient unit.

We are not aware of any data looking specifically at inpatient falls in an orthopedic ward. We reviewed all postoperative orthopedic patients who fell during 2003 and 2005 on a single postoperative orthopedic unit. Seventy patients (1%) fell, resulting in 2.

Triplanar trochanteric osteotomy: a modified anterior trochanteric slide osteotomy.

Current methods of trochanteric sliding osteotomy typically preserve the lateral aspect of the greater trochanter, the vastus lateralis, the abductors, posterior capsule, and the external rotators. Our modification to this technique includes leaving an anterior vertical ridge of bone that resists the anterior-directed forces acting on the osteotomy. Furthermore, a chevron-shaped osteotomy provides some additional stabilization to the proximally directed pull of the abductors.

Synovial chondromatosis of the foot and ankle.

Background: Synovial chondromatosis (SC) is a benign condition where the synovial lining of joints, bursae, or tendon sheaths undergoes metaplasia and ultimately forms cartilaginous loose bodies. Synovial chondromatosis of the foot and ankle is exceedingly rare, and outcomes following surgical excision are largely unknown.

Materials And Methods: An Institutional Review Board-approved retrospective review of our institution's surgical database from 1970 to 2006 revealed 8 patients with SC of the foot and/or ankle confirmed by pathology.

Contemporary evaluation and treatment of distal radius fractures.

Distal radius fractures are among the most common fractures encountered by orthopedic surgeons. Because of many fracture patterns and types, it has been difficult to develop a comprehensive classification. Treatment options vary depending on injury severity and stability of the fracture reduction.