A radiographic review of first metatarsophalangeal joint (MPJ) arthrodesis in patients who had preoperative intermetatarsal angles greater than 15 degrees is presented. The average reduction of the intermetatarsal angle was measured. Twenty-one patients with 22 fusions, with ages ranging from 43 to 79 years old, underwent first MPJ arthrodesis with screw or pin fixation as determined appropriat...

Objective: Subclassify grade III of Hattrup and Johnson classification into two groups, according to the remaining percentage plantar articular cartilage, propose a treatment option other than arthrodesis for some these patients. Methods: Twenty-one patients with hallux rigidus were operated on between February 2015 January 2020. The radiographic Johnson’s was used, submitted frontal, lateral, ...

The main complications of open tibiotalocalcaneal arthrodesis are wound healing disorders and nonunion. Our hypothesis was that arthroscopy and interlocking intramedullary nailing decrease these complications. We retrospectively reviewed six patients (mean age: 58 years; mean preoperative Kitaoka score: 51/100) having undergone arthroscopic tibiotalocalcaneal arthrodesis with retrograde intrame...

We present a 22-year-old man with dislocation of both the calcaneocuboid and cuneonavicular joints and fractures of the calcaneum and navicular of the right foot. The joints were reduced with percutaneous Kirschner wires, but the disrupted dorsal cuneonavicular ligaments were left unrepaired. Reduction was suboptimal and the joints were subluxed resulting in disabling arthralgia. Six months lat...

We present a 49-year-old man with a traumatic subamputation of the forefoot, associated with lacerated wound in correspondence of the dorsal surface of the right foot, with injuries of tendinous, ligamentous and vascular structures and with the loss of talus head. The patient underwent salvage arthrodesis of the talonavicular and calcanealcuboid joints with graft bone harvested from the iliac c...

Arthrodesis of the first metatarsophalangeal joint is indicated for severe hallux valgus deformity. Open arthrodesis requires extensive soft-tissue dissection. Recently, a technique arthroscopic in deformity has been reported. This approach includes endoscopic lateral release via plantar and toe web portals, followed by medial dorsolateral portals. Endoscopic can convert fixed into flexible one...

The paper describes the technique and application of a tricortical bone graft harvesting from lateral malleolus. Graft does not interfere with continuity fibula. Due to its structure, is equivalent similarly structured taken iliac crest. used in osteotomies arthrodesis within foot ankle joint, which require strong piece as wedge. author typically uses this type for osteotomy anterior part calca...

BACKGROUND In the current discussion of surgical treatment of arthroses in the ankle joint, arthrodesis is in competition with artificial joint replacement. Up until now, no valid biomechanical findings have existed on the changes in intraarticular loads following arthrodesis. One argument against tibiotalar arthrodesis is the frequently associated, long-term degeneration of the talonavicular j...

BACKGROUND Triple-threaded, cannulated headless screws of varying thread diameters and pitch are designed to maintain thread length across the arthrodesis plane, provide joint compression, and reduce countersinking. This study tested the biomechanical fixation strength of conventional partially threaded lag screws compared to triple-threaded headless screws in first metatarsophalangeal joint ar...

BACKGROUND The new IOFIX is an intra-osseous fixation device comprising an "X-post" through which a lag screw passes to apparently improve force distribution across an arthrodesis. We conducted a novel human cadaveric study. Our null hypothesis was no difference in force exists in an ankle arthrodesis model stabilized with the IOFIX or a conventional single lag screw. METHOD In ten cadaver an...