Surgical treatment options for end-stage osteoarthritis of the ankle joint typically consist of debridement, distraction arthroplasty, osteochondral allograft transfer system, arthrodesis, or total ankle arthroplasty. Interposition arthroplasty is an additional surgical treatment that may delay or eliminate the need for ankle arthrodesis. We report the use of a free Achilles tendon allograft as interposition arthroplasty for treatment of end-stage ankle osteoarthritis, the Achilles Ankle Arthroplasty or "AAA" procedure.
View Article and Find Full Text PDFClin Podiatr Med Surg
April 2010
According to the Arthritis Foundation, approximately 1.3 million Americans have rheumatoid arthritis (RA), while an estimated 300,000 children are diagnosed with the disease each year. The disease is 2- to 4-times more common in women than in men and is least common in young men.
View Article and Find Full Text PDFPolydactyly of the hands or feet is a common birth deformity. We recently encountered a female infant with a case of a crossed type 1 polydactyly with a mixed polydactyly of the feet. A mixed and crossed polydactyly is a rare finding with only one other reported case.
View Article and Find Full Text PDFJ Am Podiatr Med Assoc
November 2005
A prospective analysis was conducted of the amount of correction obtained and number of complications resulting from 31 endoscopic gastrocnemius recessions in 28 patients. The average amount of increase in ankle dorsiflexion was 18 degrees. Few complications were encountered, with mild "soreness" and distal "bruising" being reported by four patients.
View Article and Find Full Text PDFThe authors report a case of longitudinal tendon tears of the peroneus longus and brevis in the presence of tophaceous gouty infiltration. There are a limited number of reports discussing similar processes affecting various tendons throughout the body. There has been 1 prior case of peroneal tendon involvement affecting only the peroneus brevis.
View Article and Find Full Text PDFThe first known report of a patient with Lyme Disease-induced peripheral neuropathy resulting in bilaterally symmetrical "Charcot" changes of the midfoot is reported. An extensive review of the literature failed to produce any known cases of neuropathic osteoarthropathy that would be linked directly or indirectly with Lyme Disease-induced peripheral neuropathy. The relationship between Lyme Disease, the secondary neurologic manifestations caused by the infection, and neuropathic osteoarthropathy are discussed.
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