Simple foot holder saves your theatre practitioner's back: a technical tip.

We provide a simple technique for foot positioning during preoperative skin preparation. Prone headrest made of gel polymer is used to support the patient's leg to keep the foot up. This will protect your operating theatre practitioner's back avoiding any mechanical back strain.

Painful sesamoid of the great toe.

The painful sesamoid can be a chronic and disabling problem and isolating the cause can be far from straightforward. There are a number of forefoot pathologies that can present similarly to sesmoid pathologies and likewise identifying the particular cause of sesamoid pain can be challenging. Modern imaging techniques can be helpful.

Sugioka transtrochanteric valgus osteotomy for hinge abduction in children.

Unlabelled: We report our experience of Sugioka transtrochanteric valgus osteotomy (TVO) for hinge abduction in children. The advantages are early union with simple fixation and preservation of proximal femoral geometry. Lateral displacement of the greater trochanter improves abductor limp.

Residual clubfoot in children.

The deformities encountered in any patient who has residual clubfoot comprise various degrees of equinus, varus, adduction, supination, cavus, and toe deformity. Joint flexibility or stiffness, tarsal dysmorphism, articular incongruence, and progressive degrees of degeneration may be present. Add to this the scars of previous attempts at correction and various etiologic factors, and surgeons can find that treatment solutions are far from straightforward.

Orthopaedic training worldwide: how they compare? A pilot study.

Introduction: Advances in Orthopaedics and changing concepts should result in regular review and if necessary restructuring of training programmes periodically to accommodate these changes. However, most countries have orthopaedic training programmes which have remained unchanged over decades. There is very little information available in the literature concerning orthopaedic training programmes worldwide.

Secondary prevention of osteoporosis after Colles fracture: Current practice.

Objectives: Colles fracture in the elderly is accepted as evidence of osteoporosis. NICE (National Institute of Clinical Excellence) recommends osteoporosis treatment in all fragility fractures over 75 without a DXA (Dual Energy X-ray Absorptiometry) scan and after DXA scan in younger patients. All clinicians involved in the patient's care are said to be responsible for this.

Bicortical K-wires for distal radius fracture fixation: how many?

The aim of this study was to find out whether number and position of K-wires influence the stability of distal radius fractures treated by percutaneous wire fixation. Patients who underwent K-wire fixation for unstable fractures of the distal radius over a period of three years were included in this retrospective study. Radiographs taken immediately after the procedure and radiographs taken after removal of K-wires were analysed to study three radiological parameters: palmar or dorsal tilt, radial inclination and ulnar variance.

Medial impingement after ankle replacement.

Ankle replacements appear to offer a good alternative to fusion for most arthritic conditions. Use of mobile bearings has significantly improved results of ankle replacement. Ankle replacements still have a significant minor-complication rate which does not seem to affect the long-term outcome.

Bone allografting: an Indian experience.

Freeze-drying is considered to be the best technique for allograft preparation and storage. This method is, however, unsuitable for use in developing countries due to high costs. Ethylene oxide sterilization is still controversial because of its effect on osteoinductive capacity.