A 64-year-old man presented with a severe deformity of the tibia caused by Paget's disease and osteoarthritis of the ipsilateral knee. Total knee replacement required preliminary correction of the tibial deformity. This was successfully achieved by tibial osteotomy followed by distraction osteogenesis using the Taylor spatial frame. The subsequent knee replacement was successful, with no recurr...

Objectives Global sagittal spinal imbalance leads to compensatory pelvic retroversion and femoral flexion that is far from economical standing posture. Recent reports showed spinal instrumentation surgery provided remarkable restoration of spinal alignment and better health-related quality of life (HRQOL) by adult spinal deformity surgery. However, there is a few previous reports about the impa...

Tripple deformity of elbow in association with cubitus varus can be treated by dome osteotomy. In this study we assess the strength of fixation after a dome osteotomy for cubitus varus associated with triple deformity in terms of union and complications. We conclude with this study that dome osteotomy has its own advantages in correcting the deformity for cosmesis and also by not leaving the pr...

Progression to severe hallux valgus following the second and third brachymetatarsia is a rare deformity. This condition is a challenging problem because the entire correction of hallux valgus deformity and metatarsal length discrepancy is necessary to prevent a recurrence of deformity. Metatarsal length discrepancy between the first and second ray in early adolescent patient can be aggravated w...

Although several manifestations of skin involvement in cases of amyotrophic lateral sclerosis (ALS) have been reported, the pincer nail deformity has not been previously reported in a patient with ALS. The pincer nail deformity is characterized by distortion of the shape of the nail with transverse over curvature and may be associated with systemic diseases and certain medications. We herein de...

OBJECTIVE This study was designed to investigate the correlation between insertion depth of artificial disc and postoperative kyphotic deformity after Prodisc-C total disc replacement surgery, and the range of artificial disc insertion depth which is effective in preventing postoperative whole cervical or segmental kyphotic deformity. METHODS A retrospective radiological analysis was performe...

BACKGROUND Chiari II deformity is associated with open spinal dysraphism. A causal relationship has been proposed by McLone and Knepper. This article evaluates that hypothesis. OBJECTIVE To establish the frequency of Chiari II deformity in fetuses with open spinal dysraphism, assess whether meningocele sac neck area and volume influence the severity of posterior fossa changes, and assess whet...

OBJECTIVE Clawing of the toes in the diabetic neuropathic foot is believed to be caused by muscle imbalance resulting from intrinsic muscle atrophy. However, experimental data that support this mechanism are lacking. The aim of this study was to evaluate this hypothesis using magnetic resonance imaging (MRI). RESEARCH DESIGN AND METHODS In 20 neuropathic diabetic patients, 10 with claw toe de...

UNLABELLED In elderly men and women, asymptomatic vertebral deformity was found to be associated with subsequent risk of symptomatic fractures, particularly vertebral fracture, and increased risk of mortality after a fracture. INTRODUCTION Vertebral deformity is associated with an increased risk of fracture and mortality. However, it is unclear whether the three events of vertebral deformity,...

We retrospectively evaluated 38 patients who had a total of 52 triple arthrodeses. The average age at the time of operation was 14.2 years and the mean followup period was 10.2 years. Results were rated good in 17 feet, fair in 28 and poor in 7. Talonavicular pseudarthrosis was observed in two feet, residual varus deformity in four, residual valgus deformity in one, wound infections in two, and...