Purpose of the study: In this study assessment of treatment results of old age children (13-18 years) with congenital recurrent clubfoot at the RISC’RTO’ by the method of transosseous osteosynthesis was done. Materials and methods: In our clinic from 2004 to 2016 65 children (77 feet) aged 13-18 (mean age was 14.6 years) with congenital recurrent clubfoot have been treated. All patients were tr...

OBJECTIVE The objective of this prospective study was to test whether the treatment of Lisfranc injuries with open reduction and dorsal plate fixation would have the same or better functional outcomes as treatment with standard trans-articular screw fixation. METHODS Sixty patients with primarily isolated Lisfranc joint injury were treated by open reduction and dorsal plate fixation or standa...

Background: The choice of procedure for severe hallux valgus deformity is still a matter of debate. Objective: This study presents the outcome of a distal osteotomy combined with a transarticular release in severe hallux valgus Methods: We reviewed the clinical and radiological results of 38 feet in 33 patients treated with a modified Mitchell osteotomy and a transarticular release for severe h...

PURPOSE To report the mid-term results of flexor hallucis longus (FHL) tendon transfer for reconstruction of chronically ruptured Achilles tendons. METHODS 24 men and 12 women aged 56 to 78 (mean, 70) years underwent FHL tendon transfer for reconstruction of chronically ruptured Achilles tendons by a single surgeon. Ruptures were secondary to trauma (n=20), long-term steroid intake (n=12), or...

BACKGROUND Existing techniques for operative treatment of hallux rigidus commonly combine skeletal and soft tissue interventions to obtain long-lasting relief of pain. To date, operative treatments include implant arthroplasty, cheilectomy, various osteotomies, nonimplant arthroplasty, and arthrodesis. We assessed a technique that respects the anatomy and joint function and used a shortening os...

OBJECTIVE The goal of this study has been to determine whether hyaluronic acid (HA) or exercise therapy can improve functional parameters in patients with osteoarthritis (OA) of the ankle. METHODS In a prospective clinical trial, 43 ankles (30 patients) with radiographic Kellgren Lawrence grade III OA were randomized to receive three intra-articular HA injections, with one-week interval of or...

OBJECTIVE To demonstrate the effectiveness of functional treatment for the fractures of the metatarsal, which consisted of immediate or early weight bearing without immobilisation. MATERIAL AND METHODOLOGY We prospectively studied 276 patients with simple or complex fractures of the metatarsal, treated with a functional method which consisted of immediate (before the 3(rd) day since the fract...

Aim: The aim of our study is to evaluate the efficacy of the Weil osteotomy to correct fixed claw lesser toe deformity with dorsal subluxation or dislocation of the MTP joint and overloading metatarsalgia. Material: 120 Weil osteotomies in 60 feet of 45 patients have retrospectively been studied with a minimum follow-up of 12 months (mean f.u. 17 months). Thirty-five patients were women and ten...

PURPOSE We aimed to evaluate the early clinical and radiological outcomes of arthroscopic one-stage treatment with hyaluronic acid-based cell-free scaffold (HACS) in combination with a concentration of autologous bone marrow aspirate (CBMA) technique compared to nanofracture (NF). METHODS A retrospective evaluation was made of all the patients with focal osteochondral lesions of the talus tha...

OBJECTIVE To carry out a retrospective analysis on the etiopathogenesis, diagnosis and therapeutic options in cases of tendinopathy of the anterior compartment of the ankle. METHOD 13 patients underwent surgery between September 1998 and February 2009; ten men and three women. The right side was involved in twelve patients and the left in one. The mean age was 35 years (range 15-67). The etio...