Ultrasonographic phases in gap healing following Ponseti-type Achilles tenotomy.

Background: The Ponseti technique is well established in the management of clubfoot deformity, and an Achilles tenotomy is frequently performed to facilitate dorsiflexion of the foot. This report describes the ultrasonographic phases of healing of the tendon gap created by the Achilles tenotomy and how the healing varies, if at all, with patient age.

Methods: A prospective ultrasonographic study of gap healing following a Ponseti-type tenotomy in twenty-seven tendons in twenty patients with idiopathic congenital clubfoot was performed.

Is estimated peri-operative glomerular filtration rate associated with post-operative mortality in fractured neck of femur patients?

Aim: Comparison of renal function in patients who died within 30 days of surgery for hip fractures with surviving patients matched for age, type of surgery, type of anaesthesia and clinical assessment of fitness for surgery.

Materials & Methods: A retrospective case-control study of 80 patients was performed. Pre- and post-operative urea, creatinine, estimated glomerular filtration rate (eGFR), sodium and potassium of 40 patients who died within 30 days post-surgery (cases) were compared with 40 patients who survived matched for age, sex, surgical procedure and pre-operative ASA grade (controls).