Anatomical Description of the Spring Ligament Articular Facet.

Background: The spring ligament fibrocartilaginous complex (SLFC), which is essential for stabilizing the medial longitudinal arch, features a little-explored fibrocartilaginous facet within its superomedial aspect, articulating with the talar head. This research aimed to provide a detailed anatomical description of this facet, designated as the spring ligament articular facet (SLAF).

Methods: Nine normally aligned cadaveric lower limbs were dissected, approaching the SLFC from a superior direction.

Long term results and patient reported outcome measures following lisfranc injuries treated with memory staple fixation.

Introduction: Various modalities of fixation have been proposed for Lisfranc injuries. Memory staple fixation offers a simple option for transarticular fixation in suitable fracture configuration with no diaphyseal extension. However there is little evidence available in the literature regarding its efficacy and patient reported outcomes.

Clinical and Patient reported outcomes following open reduction and internal fixation for distal tibial intra-articular fractures.

Introduction: Intra-articular distal tibial plafond fractures are rare injuries, provide a challenge for the surgeon and can often have poor outcomes. The aim of this paper was to report long term patient reported functional outcomes, health related quality of life (QoL) scores and rates of complications in order to fully counsel the patient on likely outcomes and set realistic post-operative expectations for the patient.

Methods: We conducted a retrospective review of 20 patients with distal tibial intra-articular fractures that presented to our institution between September 2014 and September 2020.

Clinical outcomes after using patient specific instrumentation: is it worth the effort? A minimum 5-year retrospective review of 298 PSI knees.

Introduction: Use of patient specific instrumentation (PSI) for performing total knee arthroplasty (TKA) has been shown to improve component positioning but there is dearth of evidence regarding clinical outcomes. The aim of our study was to report patient satisfaction and functional outcome scores of patients who underwent PSI TKAs at minimum 5 year follow up.

Methods: This is a retrospective study of a prospectively collected data of patients who underwent PSI TKAs between January 2012 and October 2015 under a single surgeon.

Long-Term Outcomes of Collagenase Clostridium Histolyticum Injection for Palmar Dupuytren's Deformity Correction.

Introduction The use of collagenase injection as a minimally invasive procedure for correction of Dupuytren's deformity is well reported in the literature. We report our experience and long-term outcome of this procedure performed in a single secondary care centre. Methods We prospectively evaluated 143 fingers that underwent Dupuytren's deformity correction using CCH injection.

Translunate, Transradial, Transtriquetral, Transtrapezoid Perilunate Dislocation With Multiple Metacarpal Neck Fractures.

We report a rare case of translunate, transradial, transtriquetral, transtrapezoid perilunate dislocation with multiple metacarpal neck fractures in a young adult. The injury was treated with open reduction and internal fixation. Although the injury was severe, the patient had a satisfactory functional result.

Triplane Ankle Fracture with Concomitant Ipsilateral Shaft of Tibia Fracture: Case Report and Review of Literature.

Introduction: Triplane fracture is a rare adolescent ankle injury. Its association with ipsilateral tibial shaft fracture is very rarely reported in the literature.

Case Report: This is a case of a 14-year-old male who sustained a twisting injury to his right leg after a fall from a height.

Bilateral Simultaneous Traumatic Thumb Injuries - Extensor Pollicis Longus Rupture On One Side And Ulnar Collateral Ligament On The Other. Case Report.

Introduction: Though isolated traumatic extensor pollicislongus rupture and ulnar collateral ligament rupture of the metacarpophalangeal joint of the thumb are well known injuries, it is rare to have simultaneous bilateral thumb injuries from a single traumatic event. In this article, we report simultaneous bilateral traumatic thumb injury with extensor pollicislongus tendon rupture on one side and ulnar collateral ligament tear on the other side. To the best of our knowledge, such injury has never been reported in the English literature.

Closed vs open nailing for displaced middle third fracture of clavicle. Does it matter?

Background: Intramedullary nailing for fractures of middle third clavicle has become increasingly popular. Though open nailing has been widely described, closed nailing finds less mention.

Objectives: In this study we compared closed nailing with open nailing in fractures of middle third of clavicle to assess if the former holds any advantage.

Epidural versus intra-articular infusion analgesia following total knee replacement.

Purpose: To compare the efficacy of epidural versus intra-articular infusion analgesia following total knee replacement (TKR).

Methods: 25 men and 50 women aged 55 to 75 (mean, 67) years who underwent primary TKR by a single surgeon were randomised and consented to receive either epidural (n=35) or intra-articular (n=40) infusion analgesia for 48 hours at 5 ml/ hr. All patients also received intravenous aqueous diclofenac 50 mg twice a day.

Simultaneous bilateral total knee replacement: a prospective study of 150 patients.

Purpose: To evaluate the safety of simultaneous bilateral total knee replacement (TKR).

Methods: 124 women and 26 men (mean age, 66 years) underwent simultaneous bilateral TKR for tricompartmental osteoarthritis using a posteriorstabilised, high-flexion implant. All patients underwent dobutamine stress echocardiography for detection of any silent cardiac comorbidity by a cardiologist.

Is immediate postoperative fever related to drop in haemoglobin? A comparative study in simultaneous bilateral total knee arthroplasty patients.

The purpose of the study was to assess whether fever in the immediate postoperative period after total knee arthroplasty was indeed related to the fall in haemoglobin. Only patients undergoing bilateral simultaneous total knee replacement were included in the study since the fall in haemoglobin is expected to be more as compared to unilateral cases. The mean fall in haemoglobin of 25 patients having immediate postoperative fever ('fever group') was compared with 27 patients having no fever ('no-fever group').

The "Shetty test" in ankle injuries: validation of a novel test to rule out ankle fractures.

Ankle sprains are by far the commonest ankle injuries. The traditional clinical approach, to any ankle injury, is a clinical examination followed by radiological examination. We have developed a simple clinical test to rule out fractures in ankle injuries and thereby eliminating the necessity for radiological examination.

Hip impingement in the Indian population: hip anthropometry measurements in 100 hips.

We studied 100 hip joints in Indian patients to measure femoral head sphericity, head-neck offset and alpha angle. Our study indicates that the mean values of the above measurements are far below the "danger" level for the onset of femoro-acetabular impingement. It remains to be seen whether these findings explain the low incidence of primary hip osteoarthritis in the Indian population.