Preoperative and Postoperative Opiate Use by the Arthroplasty Patient.

Background: As opioid use increases nationally, the arthroplasty surgeon is likely to see more patients taking opioid analgesics on initial presentation. The purpose of this study was to investigate the use of opiate medication in the preoperative and postoperative patient undergoing primary total joint arthroplasty.

Methods: From October 2010 to November 2011, data on 367 consecutive patients who underwent primary total joint arthroplasty were reviewed.

Hallux metatarsophalangeal joint fusion for the rheumatoid forefoot.

Forefoot problems in patients who have rheumatoid arthritis are common. The progressive joint destruction causes a redistribution of weight about the forefoot, with a diminished weightbearing capacity of the first metatarsophalangeal (MTP) joint. Changes around the first MTP joint include synovitis, joint instability with subluxation, and arthritic change.

Calcaneus fractures: a review article.

Calcaneus fractures are a significant burden to society. Assessment and treatment of these injuries has improved significantly. The use of CT scanning has allowed a greater understanding of the pathologic anatomy of these fractures, and has provided for prognostic classification systems with respect to outcome.