A Systematic Review Investigating the Effectiveness of Surgical Versus Conservative Management of Unstable Ankle Fractures in Adults.

Nine percent of all fractures affect the ankle, with an annual incidence of 122/100,000 in Edinburgh, UK. While unstable fractures are usually treated surgically, there has been no recent systematic review of the evidence supporting this decision. In this systematic review, relevant electronic databases (such as MEDLINE and CINHAL) were searched from inception to February 2017.

Hallux valgus interphalangeus: reliability of radiological assessment.

Background: Reliable radiographic measurement of hallux valgus interphalangeus (HVI) deformity has a role in guiding surgical management. HVI can be assessed using: The aim of the study is to investigate the reliability of these radiological parameters.

Methods: Seventy foot radiographs in patients pre and post hallux valgus corrective surgery were assessed by 3 observers.

Acute Fracture Neck of Femur Among Inpatients: Severe Injuries Which Need to be Taken Seriously.

Objectives: This study assesses fall prevention measures and subsequent incident reporting of falls resulting in an "inpatient fracture neck of femur (FNOF)" within a single NHS Trust, with the aim of identifying potential areas of improvement and changing practice within a Trust.

Methods: Forty patients (mean age, 82.6 years) sustained an injury while being treated in hospital for an unrelated cause between January 2012 and June 2013.

The inpatient fracture neck of femur: an important subgroup of patients.

Fractured neck of femur (FNOF) is an increasing problem for the National Health Service (NHS) with 61,508 recorded on the National Hip Fracture Database (NHFD) in 2012–2013 and treatment of such patients is estimated to cost the NHS £1.5 billion per year. Inpatients falling in hospital and sustain a FNOF have rarely been studied as a separate group of patients to assess standards of patient care, time to operative management, and patient mortality.

Lesser metatarsophalangeal instability: presentation, management, and outcomes.

Background: Lesser metatarsophalangeal (MTP) instability is a common cause of forefoot pain. In this prospective study, we looked at its presentation, management and outcome.

Methods: We studied characteristics of patients presenting to a specialist foot and ankle clinic with lesser MTP instability.

Second metatarsophalangeal joint instability and second metatarsal length association depends on the method of measurement.

Introduction: Second metatarsophalangeal joint (MTPJ) instability is an important cause of forefoot pain and its causation multi-factorial. There is debate over an association with a relatively increased second metatarsal length and numerous measurement techniques. It is not known which, if any correlate with second MTPJ instability or their accuracy.

Five years of ankle fractures grouped by stability.

Categories of displaced and undisplaced stable ankle fracture are well recognised. We report on a further group of ankle fractures which are undisplaced at presentation, but do not fulfil criteria for stable injuries, and therefore, may be at risk of displacement. The Blackburn Foot and Ankle Service operates evidence-based guidelines for ankle fractures, introduced in 1998.

The problem with measuring patient perceptions of outcome with existing outcome measures in foot and ankle surgery.

Quality outcome measures are the cornerstone of clinical research. A review of outcome measures used in foot and ankle surgery research reveals that the issues of validity, reliability and responsiveness of outcome measures have not been addressed. Most reports in the literature have attempted to evaluate patient perceptions of outcome following foot surgery.