Foot and ankle surgeons routinely perform surgery of the fi rst ray, such as correction of hallux valgus deformity. The complication rate in hallux valgus surgery ranges between 10% and 55%. 1 Although hallux valgus surgery is common, several common complications can occur that necessitate revision. There are several causes of hallux valgus surgery failure; often, potential complications can be...

Transection of the facial nerve can result from blunt or penetrating trauma to the face or temporal bone. It can also occur accidentally during surgery, or as a planned surgical procedure carried out in the interest of eradicating disease. If transection is recognized at surgery, direct anastomosis or cable grafting is the procedure of choice. This article presents two cases with neither clinic...

This chapter focuses on the management of patients who have had previous surgery for correction of spinal deformity that requires further surgical intervention. Patients who present with failed surgical correction or with new surgical issues are typically complex and require a thorough physical examination and complete diagnostic evaluation. A combination of laboratory, radiologic, and electrod...

Revision total knee arthroplasty (rTKA) is a challenging, complex procedure. A comprehensive understanding of the anatomy, challenges and pitfalls is essential to achieve a good outcome for the patient.This review discusses the determinants of good outcomes of rTKA. These include, among other factors, the choice of the surgical approach, removal of the components, adequate reconstruction of the...

PURPOSE To determine the incidence of revision and potential risk factors for needing revision surgery following in situ ulnar nerve decompression for patients with idiopathic cubital tunnel syndrome (CTS). METHODS We conducted a retrospective chart review of all patients treated at 1 specialty hand center with an open in situ ulnar nerve decompression for idiopathic CTS from January 2006 thr...

BACKGROUND AND PURPOSE Patients report similar or better pain and function before revision hip arthroplasty than before primary arthroplasty but worse results are reported after revision surgery than after primary surgery. The trajectory of post-operative recovery during the first months and any differences by type of surgery have received little attention. We explored the trajectories of chang...

Background: While outcomes of primary anatomic total shoulder arthroplasty (aTSA) are generally favorable, resultsafter revision procedures are less reliable. This study examines the functional outcomes, complications, and implantsurvival in patients who underwent revision of aTSA to aTSA.Methods: Patients who underwent revision aTSA were identified from 2008-2015. Demographic, clinical, surgic...

BACKGROUND Revision laryngeal framework surgery is usually performed for medialisation laryngoplasty failure, rather than for failure after arytenoid adduction. We describe a new method for revision arytenoid adduction surgery, performed by directly pulling the lateral cricoarytenoid muscle ('lateral cricoarytenoid muscle pull surgery'). METHODS We describe a case of revision laryngeal framew...

Objective To assess how much and on which specialities nonobstetric surgery was performed for pregnant women in Finland during a 21-year period, between 1997 2017 the effect of Finnish guideline about preoperative evaluation affected amount pregnancy. Design Register-based observational study. Setting Medical Birth Register. Population 1 175 677 pregnancies ending with singleton birth 1997?2017...