Total ankle replacement (TAR) designs have still several important issues to be addressed before the treatment becomes fully acceptable clinically. Very little is known about the performance, in terms of the contact pressures and kinematics of TAR when subjected to daily activities such as level gait. For this purpose, an explicit finite element model of a novel 3-component TAR was developed, w...

BACKGROUND Supramalleolar osteotomy (SMOT) is a well-accepted treatment method for mid-stage varus ankle osteoarthritis (OA). However, few studies have examined the role of fibular osteotomy in SMOT. The objective of the current study was to compare the biomechanical and clinical outcomes of SMOT with and without fibular osteotomy. METHODS Eight cadaveric lower legs with 10° varus/valgus SMOT...

The goals of Charcot deformity correction are to restore osseous alignment, regain pedal stability, and prevent ulceration. Traditional reconstructive surgical approaches involve large, open incisions to remove bone and the use of internal fixation to attempt to fuse dislocated joints. Such operations can result in shortening of the foot and/or incomplete deformity correction, fixation failure,...

A clinical based review of the injuries that are regularly suffered by Joan and John Average is presented. Common presentations of conditions such as lateral ligament tears, talar osteochondral lesions, syndesmotic injuries and 5 Metatarsal fractures are discussed along with the management and prognosis of these problems. Questions are answered including how does it occur; what should I do abou...

in the present investigation flocculation of dissolved cu, zn, pb, ni and mn in a series of mixtures with salinities ranging from 1.5 to 9.5% during mixing of talar river water with the caspian sea water was studied. the flocculation trend of zn (87.22%) >mn (45.31%) >pb (39.09%) >cu (36.58%)>ni (12.70%) indicates that cu, zn, pb and mn have non-conservative behavior and ni has relatively conse...