Fall classification, incidence and circumstances in patients undergoing total knee replacement.

To propose a fall-classification framework for patients undergoing total knee replacement (TKR). In addition, we reinforced the available evidence on fall incidence and circumstances and compared the characteristics of fallers versus. nonfallers.

The effects of preoperative balance training on balance and functional outcome after total knee replacement: a randomized controlled trial.

Objective: To assess the effects of preoperative balance training on the early postoperative balance and functional outcomes after total knee replacement surgery and to test whether an outpatient intervention may be as effective as a domiciliary intervention.

Design: This is a three-arm randomized controlled trial.

Setting: University hospital.

Total ankle replacement in patients with end-stage ankle osteoarthritis: clinical results and kinetic gait analysis.

Background: Total ankle arthroplasty is being used more frequently as an alternative for arthrodesis in final stages of ankle osteoarthritis. However, there are few studies which describe the biomechanics of gait of these patients.

Methods: Between March 2006 and May 2011, 17 patients (n=18 ankles) suffering end-stage osteoarthritis of the ankle who underwent an ankle replacement (HINTEGRA) were evaluated retrospectively.

Treatment of acute Achilles tendon ruptures with Achillon device: clinical outcomes and kinetic gait analysis.

Background: We reviewed the outcomes of the Achillon minimally invasive suture system and an early semi-functional rehabilitation program for the treatment of acute Achilles tendon ruptures.

Methods: From December 2006 to April 2008, 18 consecutive patients with acute Achilles tendon ruptures were retrospectively reviewed with an average follow-up of 22 months. Clinical data were assessed with the patient satisfaction and the AOFAS hindfoot score.

Scarf and Akin osteotomies for moderate and severe hallux valgus: clinical and radiographic results.

Background: The scarf and the combined scarf-Akin procedures are reliable therapeutic tools and can obtain effective correction of symptomatic moderate to severe hallux valgus deformities.

Methods: The data from 30 patients (37 feet) with moderate to severe hallux valgus deformity who had scarf osteotomies have been retrospectively reviewed. 32 Akin and 77 Weil osteotomies were also carried out at the same stage.

Osteochondritis of the hallux sesamoid bones.

Osteochondritis of the sesamoid bones is an infrequent condition which may affect both the medial and lateral hallux sesamoids. Those cases refractory to conservative treatment can be satisfactorily solved by carrying out its surgical excision. We present a literature review about its causes, pathophysiology, the diagnostic methods and the treatments options.

Retrospective review of L3 myelomeningocele in three age groups: should posterolateral iliopsoas transfer still be indicated to stabilize the hip?

The data from 58 hips in 29 myelodysplastic children with L3 paralysis has been reviewed retrospectively. Posterolateral transfer of the iliopsoas (Sharrard technique) was performed on all hips to correct muscle imbalance between 1975 and 1992. The average length of follow-up was 21 years.

Distal transfer of the greater trochanter in acquired coxa vara. Clinical and radiographic results.

Relative overgrowth of the greater trochanter is a problem related to proximal femoral growth cartilage damage. Eleven hips in 10 patients aged 4-13 years with acquired coxa vara were retrospectively reviewed. Distal and lateral transfer of the greater trochanter was performed in all patients.