A retrospective observational study was performed to determine if early ambulation compromised healing in patients who underwent primary first metatarsophalangeal joint arthrodesis. The records of 42 patients undergoing 47 fusions were evaluated to determine time to radiographic union, time to clinical union, and return to regular shoes. Results showed that patients achieved clinical healing at...

BACKGROUND Plantar ulcers produced by diabetic foot disease are devastating and costly. Better understanding of the ulcer-producing process is important to improve detection of feet that are at risk and to improve intervention. We identified and quantified soft-tissue and osseous structural changes in the forefoot of diabetic patients with a prior plantar ulcer. METHODS Thirty-two individuals...

A 35 year old man presented to our emergency department after a traffic injury. Radiographic evaluation showed plantar dislocation of the second metatarsophalangeal joint and dorsal dislocation at the second tarsometatarsal joint. Under general anesthesia, closed reduction of the metatarsophalangeal joint was performed, followed by percutaneous fixation with a Kirschner-wire, and immobilization...