Screws versus plate with screws for osteosynthesis of the posterior malleolus: a systematic review and meta-analysis.

Introduction: fractures involving the posterior malleolus (PM) of the ankle can have significant functional and clinical implications if not properly treated. The optimal treatment approach for these fractures remains uncertain. This review aims to compare the use of cannulated screws versus plate with screw fixation in terms of their impact on the development of postoperative ankle osteoarthritis and functional outcomes in patients with PM fractures.

[Correction of the pre- and post-surgical rotational component of the first metatarsal secondary to modified Chevron osteotomy].

Introduction.: (HV) is a complex forefoot pathology, in which interest has recently been shown in the distal rotational component (CR) of the first metatarsal due to its relationship with postsurgical relapses of the deformity. The selection of surgical technique is controversial with little current literature on the correction of rotation with common osteotomies.

[Modification of Scarf osteotomy for the treatment of hallux valgus].

Objectives: To show that the modified scarf osteotomy for hallux valgus surgery provides a greater basal contact surface, which results in more stability and less complications for the management of the metatarsus primus varus, and helps define its indications.

Material And Methods: Longitudinal, ambispective trial conducted between 2005 and January 2012 in patients with hallux valgus and metatarsus primus varus, with a statistical analysis using Student's T test to compare the preoperative and postoperative values of the American Orthopaedic Foot & Ankle Society scale.

Results: 58 modified scarf osteotomies were performed in 46 patients; there were 12 bilateral patients.

[Pirogoff amputation. Report of two cases and literature review].

Pirogoff amputation was originally described by Russian surgeon Nicholas Pirogoff in 1864. It refers to the osteoplastic amputation distal to the ankle joint, talus resection and bone fusion of the tibia and the calcaneus. Its advantages are as follows: less loss in limb length, the possibility of full weight bearing, and the use of a more anatomical prosthesis.