Assessment of a three-grade classification of complications in total ankle replacement.

Background: Prompted by the success of hip and knee arthroplasty, total ankle replacement (TAR) has become increasingly popular as a treatment for end stage arthritis of the ankle. A 3-grade classification of complications to assist in prediction of early implant failure has been proposed. We have compared the experience of a tertiary referral center in the United Kingdom to the proposed system.

Knee arthrodesis with lengthening: experience of using Ilizarov techniques to salvage large asymmetric defects following infected peri-articular fractures.

Aim: We present four patients with large bone defects due to infected internal fixation of knee condylar fractures. All were treated by debridement of bone and soft tissue and stabilisation with flap closure if required, followed by bone transport arthrodesis of the knee with simultaneous lengthening.

Methods: Four patients (three male and one female), mean age 46.

Legg-Calvé-Perthes disease in a child with osteopetrosis.

Osteopetrosis is a rare inherited disorder of bone causing increased bone density. Legg-Calvé-Perthes disease (LCPD), by contrast, is a more common idiopathic condition leading to variable avascular necrosis of the immature femoral head. We present a case of a 5-year-old boy presenting with these co-morbidities.

An anomalous hindfoot insertion of the posterior tibialis tendon.

The posterior tibialis tendon has numerous insertions but none into the hindfoot has ever been reported in the literature. We present the operative and histological findings of an anomalous insertion slip into the sustentaculum tali in an adult patient with flatfoot deformity.

The MOJE total joint arthroplasty for 1st metatarso-phalangeal osteoarthritis: a short-term retrospective outcome study.

Background: Evidence regarding the efficacy of the MOJE ceramic press fit total joint replacement for the first metatarso-phalangeal joint (MTPJ) is lacking.

Objectives: Our aim was to assess the clinical outcome for the MOJE arthroplasty in a single surgeon series using objective and subjective assessment tools.

Methods: A retrospective outcome study of 24 implants was performed in 22 patients undergoing first MTPJ replacement for osteoarthritis from 2004 to 2006.