science

Retrograde Intramedullary Nailing for Recurrent Fracture in Congenital Pseudarthrosis of the Tibia

September 2, 2015

We present the case of a 23-year-old male with congenital pseudarthrosis of the tibia, who had undergone treatment with Ilizarov ring fixation and had experienced 4 episodes of repeat fracture. He had associated type 1 neurofibromatosis, and his radiographs confirmed a type 6 Boyd’s congenital pseudarthrosis of the left tibia, with concomitant arthritic ankle and subtalar joints. He was treated successfully with retrograde intramedullary nailing of the tibia and autologous bone grafting

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Incidence of Peroneal Tendinopathy After Application of a Posterior Antiglide Plate for Repair of Supination External Rotation Lateral Malleolar…

September 2, 2015

Posterior antiglide plating is widely used to treat lateral malleolar fractures caused by supination-external rotation injuries. Despite its widespread use, this technique can be associated with postoperative peroneal tendinopathy.

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Proximal Phalanx Hemiarthroplasty for the Treatment of Advanced Hallux Rigidus

September 1, 2015

Multiple treatment options exist for the management of late-stage hallux rigidus. The goals of treatment are pain reduction and restoration of function.

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The Use of Osteotomy in the Management of Hallux Rigidus

September 1, 2015

Metatarsus elevatus and gastrocnemius tightness contribute to the development of functional hallux rigidus.

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Open, Arthroscopic, and Percutaneous Cheilectomy for Hallux Rigidus

September 1, 2015

Cheilectomy consists of excision of the dorsal exostosis and part of the metatarsal head. It is typically performed for patients in the earlier stages of hallux rigidus presenting with dorsal pain and dorsiflexion stiffness in the absence of through-range symptoms, rest pain, and plantar pain and with negative result on grind test. If joint motion–preserving surgery is appropriate, then cheilectomy is generally considered to be the first-line surgical choice.

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Hibbs Tenosuspension

August 29, 2015

Hibbs tenosuspension is an underutilized procedure when it comes to dealing with lesser toe pathology in conditions such as Charcot-Marie-Tooth disease.

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Arthroscopic First Metatarsophalangeal Arthrodesis for Repair of Fixed Hallux Varus Deformity

August 26, 2015

Arthroscopic first metatarsophalangeal arthrodesis for fixed hallux varus deformity can be very difficult because narrowing of the medial joint space results in difficult access. The abductor hallucis tendon and the medial capsule can be released through a small proximal plantar medial incision.

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Waves of change: Helping staff navigate the turbulent tides of healthcare

August 25, 2015

With an emphasis on reducing costs while improving quality and access, the transformation of the U.S.

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Two Articles: Similar, Not the Same

August 23, 2015

Recently, Seth S. Leopold, MD, Editor in Chief of Clinical Orthopaedics and Related Research®, informed me that a reader had brought to his attention that two articles published respectively in The Journal of Foot & Ankle Surgery® and Clinical Orthopaedics and Related Research® were similar (Wu DY

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Administration of Tranexamic Acid Reduces Postoperative Blood Loss in Calcaneal Fractures: A Randomized Controlled Trial

August 23, 2015

The present randomized controlled trial was undertaken to evaluate the effect of tranexamic acid (TXA) on reducing postoperative blood loss in calcaneal fractures. A total of 90 patients with a unilateral closed calcaneal fracture were randomized to the TXA (n = 45) and control (n = 45) groups. The corresponding groups received 15 mg/kg body weight of TXA or placebo (0.9% sodium chloride solution) intravenously before the skin incision was made.

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