Major arthrodeses in patients with neuropathic arthropathy.

Neuropathic arthropathy is a complex deformity found in a multitude of disease processes. Various forms of conservative and surgical treatment options have been reported throughout the literature; however, a limited number of such treatments address the underlying deformity. This article reviews the indications and surgical criteria necessary to perform successful arthrodesis procedures in patients afflicted with this problem.

Tibiofibular arthrodesis for malunion of the talocrural joint.

Reconstruction of malunited or an incongruous talocrural articulation is relatively unrecognized within the literature and few procedures have been described. This article reviews a case of a 36-year-old male who presented with chronic ankle pain, secondary to a malunion of the ankle joint. The case presentation, including surgical treatment and follow-up care, is presented.

The role of endoscopy in treatment of stenosing posterior tibial tenosynovitis.

Some foot and ankle pathologic conditions can be treated by an endoscopic approach. Its effectiveness has been reported in the treatment of plantar fasciitis. The authors have used an endoscopic approach in the treatment of posterior tibial tenosynovitis resistant to nonsurgical treatment.

Synovitis secondary to silicone elastomeric joint implant.

The authors present a case study of synovitis after an arthroplasty of the first metatarsophalangeal joint and placement of a hemisilicone joint implant. This was an unusual presentation because excision of the prosthesis was necessary 1 month after placement. Also, a review of the literature is presented on silicone synovitis and other complications that arise after silicone joint implantation.

Polymetatarsia as an etiology for Tailor's bunion deformity: a surgical approach.

Congenital pedal deformities are well documented within the literature. The following article reviews a case history of a 4-year-old girl with a unique case of polymetatarsia and the complications associated with the resultant deformity. The history, case presentation, surgical treatment rendered, and follow-up care are presented.