Isolated wear of the polyethylene tibial component led to failure in five of a series of 108 uncemented porous-coated knee replacements. The clinical features included pain, effusion and instability with progressive varus deformity. In all cases there was extensive wear on the medial side of the polyethylene surface of the prosthesis. The mechanism of such wear is complex, being due in part to ...

The Essex-Lopresti injury of the forearm is difficult to diagnose. A missed diagnosis can lead to persistent pain and instability of the wrist. We report a 33-year-old man with a pre-existing cubital varus deformity who sustained an atypical Essex-Lopresti injury after a fall on his elbow. Accurate diagnosis requires understanding of force transmission and anatomy of the radius and ulna, as wel...

Complex tibial deformities imply simultaneous correction of varus deformity and internal rotation of the tibia, axis realignment, restoration of joint surface congruity and treatment and prevention of limb length discrepancy. Four patients were treated in our department using the single-cut osteotomy described by Paley. Osteosynthesis was achieved by an external fixator in two cases, K-wires in...

Complex foot deformity can be described as a foot with multiplanar abnormalities with or without shortening of the foot. Conventional surgical treatment may not be able to correct these deformities. In this study we evaluate the results of percutaneous V osteotomy of the calcaneus with an Ilizarov external fixator for treatment of complex foot deformity. Twenty feet with a complex deformity wer...

Introduction Congenital talipes equinovarus (CTEV) is a deformity in which the foot is in structural equinus, varus, adductus and cavus and occurs in approximately 1 per 1000 births [1]. Despite good initial correction with the Ponseti technique, a tibialis anterior tendon transfer (TATT) is required in 20-25% of cases to correct residual dynamic supination observed during gait. Currently, no r...

McBride popularized the lateral release in the earlier part of the century as an isolated soft tissue procedure to correct hallux valgus. Since the procedure did not correct the structural deformity, surgeons performed the procedure with fibular sesamoidectomy and/or adductor transfer in an attempt to maximize the soft tissue correction. However, it became apparent that overzealous work within ...