We report the early results of high tibial osteotomy (HTO) in medial compartment osteoarthritis (OA) and varus deformity using the Taylor spatial frame (TSF). Between October 2005 and April 2007, 9 patients with medial compartment OA and varus deformity underwent TSF application and medial opening wedge HTO. Pre- and post-operative Oxford knee scores, SF-12 and visual analogue pain scores were ...

First metatarsophalangeal arthrodesis has been used to treat end-stage arthritis of the great toe (e.g., gout, post-traumatic, infection), severe hallux valgus deformity, caused by neuromuscular disorders, rheumatoid forefoot primary varus, and rigid plantarflexion deformities, as well a salvage procedure for failed previous operation toe. As with any procedure, proper positioning in first is u...

Hallux varus can present as a congenital deformity or it can be acquired secondary to trauma, surgery, or neuromuscular disease. In the present report, we describe the presence of hallux varus as a sequela of calcaneal fracture with entrapment of the medial plantar nerve in the calcaneal tunnel and recommend that clinicians be wary of this when they clinically, and radiographically, evaluate pa...

INTRODUCTION Congenital hallux varus of secondary type is associated with polydactyly, syndactyly or other congenital deformities of the foot. Such congenital deformities can be addressed in childhood with soft tissue reconstructive procedures. In adulthood, treatment of these deformities is challenging because of soft tissue contractures and rigid bony deformities. To our knowledge, this is th...

The purpose of this paper is to analyse the causes of permanent disability after supracondylar fractures of the humerus in children. By so doing I hope to show what degree of residual displacement can be accepted without detriment to the patient, and that which must be corrected to obtain an elbow of normal appearance and a full range of movement. A survey of the literature reveals many conflic...

This retrospective study was aimed to evaluate the clinical outcome and extent of correction tibial deformity by a radiological evaluation following total knee arthroplasty (TKA) combined with intra-articular bone resection, in patients arthritis ipsilateral malunited fractures. Fifteen (15 knees) severe extra-articular malunion tibia were treated using TKA resection. The deformities coronal pl...

Instability is an important cause of failure following total knee arthroplasty. Increasing component constraint may reduce instability, but doing so also can cause increased forces to be transmitted to fixation and implant interfaces, which may lead to premature aseptic loosening. Constraint is defined as the effect of the elements of knee implant design that provides the stability needed to co...

the ponseti method is a safe and effective treatment for congenital clubfoot, and radically decreases the need for extensive corrective surgery. but a group of patients will still present with under corrected residual equinovarus deformities despite the proper use of the ponseti method. about 25% of operated clubfeet will develop recurrence or show a marked residual deformity (recurrent clubfoo...

OBJECTIVE To evaluate the clinical course of patients subjected to the osteotomy designed at the National Rehabilitation Institute (LP-INR) with a memory staple to treat the congenital quintus varus supraductus deformity, from December 2002 to August 2009. Moreover, to show that the LP-INR osteotomy decreases weight bearing under the 5th metatarsal head, descends the phalanx, spares the metatar...

We report a patient who had bilateral stress fractures of proximal tibial shaft secondary to advanced osteoarthritis of knee with varus deformity. With treatment by simultaneous correction of deformity and internal fixation, the fractures healed uneventfully and the chronic knee pain was much alleviated. Due to progression of the symptom, right total knee replacement was finally performed 9 yea...