Evans calcaneal lengthening osteotomy is a powerful surgical technique utilized in the correction of a flatfoot deformity. The known biomechanical complications associated with performing the calcaneal osteotomy alone involve increased lateral column pressures. The present study involves a patient who developed a sub fifth metatarsal ulceration with weightbearing after an Evans calcaneal osteot...

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...

BACKGROUND Despite the ability of lateral closed-wedge osteotomy for cubitus varus deformity to restore carrying angle and preserve elbow motion, there have been reports of poor cosmetic appearance of the elbow because of lateral condylar prominence. METHOD We evaluated long-term results of remodeling of lateral condylar prominence after osteotomy in 11 patients (7 of the prepuberty group, 4 ...

BACKGROUND This study aimed to investigate, by means of finite element analysis, the effect of a drill hole at the end of a horizontal osteotomy to reduce the risk of lateral cortex fracture while performing an opening wedge high tibial osteotomy (OWHTO). The question was whether drilling a hole relieves stress and increases the maximum correction angle without fracture of the lateral cortex de...

INTRODUCTION Prophylactic gastrocnemius flap with primary rotating hinge knee is technically demanding in a case of neglected post-traumatic, infective arthritis of the knee, with challenges of compromised skin and soft tissues, articular bone defect, limb mal-alignment, gross instability, retained hardware and a contracted extensor mechanism with the patella fixed in the lateral gutter all in ...

Introduction: Patients with patellofemoral instability with trochlear dysplasia may be treated with trochlear osteotomy. Case presentation: We present a patient with patellofemoral instability treated with trochlear osteotomy. The procedure resulted in nonunion with painful bony impingement and isolated patellofemoral osteoarthritis. Patellofemoral arthroplasty was performed. Conclusion: Patell...

Medial opening wedge high tibial osteotomy is a popular treatment option for medial compartment osteoarthritis of the knee. One of the proposed advantages is easier conversion to a total knee replacement compared to lateral closing wedge osteotomies, although there are few studies to support this. We reviewed the technical considerations in 36 knees in which conversion of a medial opening wedge...

The lateral subvastus approach combined with an osteotomy of the tibial tubercle is a recognised, but rarely used approach for total knee replacement (TKR). A total of 32 patients undergoing primary TKR was randomised into two groups, in one of which the lateral subvastus approach combined with a tibial tubercle osteotomy and in the other the medial parapatellar approach were used. The patients...

BACKGROUND Tarsal tunnel syndrome is a known complication of lateralizing calcaneal osteotomy. A Malerba Z-type osteotomy may preserve more tarsal tunnel volume (TTV) and decrease risk of neurovascular injury. We investigated 2 effects on the tarsal tunnel of the Malerba osteotomy compared to a standard lateralizing osteotomy using a cadaveric model: (1) the effect on TTV as measured by magneti...

background: postoperative periorbital edema and ecchymosis are common after rhinoplasty. we studied the effect of local injection of lidocaine/adrenaline immediately before osteotomy on prevention of post-operative periorbital edema and ecchymosis in rhinoplasty. m aterials and methods: thirty healthy candidates for rhinoplasty were enrolled in the self-controlled clinical trial study. lidocain...