The authors describe flatfoot, as one of very frequent deformities in everyday medical practice. A special condition of the deformity associated with a calcaneal valgus position and complicated by a knee valgus position (as a consequence of non-treatment) is described. Also, the precise anatomy of the longitudinal foot arches (medial and lateral), definition and classification of the deformity,...

Adequate correction of hallux valgus may be attempted at various levels of the first ray complex, depending on appropriate determination of the apex of the deformity. Methods of correction may include first metatarsal base osteotomy and first metatarsal head osteotomy as well as uncomplicated first metatarsophalangeal joint soft tissue realignment. In those instances in which the major deformit...

Until recently the accepted treatment of choice for severe type-II fibular hemimelia has been Syme's or Boyd's amputation. The alternative of distraction lengthening using the Ilizarov technique is now available. We report three patients (four limbs) with type-II fibular hemimelia who were treated by the Ilizarov technique and followed up for two to six years. Severe progressive procurvatum and...

BACKGROUND The presented case illustrates the critical role of a detailed preoperative radiological evaluation in complex spine surgery. CASE REPORT A 49-year-old patient was admitted for a revision surgery after L3-L5 fusion. Preoperative assessment showed preserved sagittal balance, coronal imbalance and valgus knee deformity. The patient reported pain of 8-10 in VAS (Visual Analogue Scale)...

The clinical evaluation of the hallux abducto valgus deformity is extremely important. It is imperative that the nature and type of deformity are identified and documented to understand the presenting problem unique to each patient. Of equal importance is the fact that many patients presenting with hallux abducto valgus and associated symptoms will require surgical intervention to adequately tr...

A consecutive series of 23 patients (25 ankles) with osteoarthritis of the ankle and severe varus or valgus deformity were treated by open arthrodesis using compression screws. Primary union was achieved in 24 ankles one required further surgery to obtain a solid fusion. The high level of satisfaction in this group of patients reinforces the view that open arthrodesis, as opposed to ankle repla...

BACKGROUND Fracture of the proximal tibial metaphysis in children is a rare injury but notorious for carrying the risk of subsequent valgus deformity of the tibia. HYPOTHESIS Trampoline-caused fracture of the proximal tibial metaphysis in children may not progress into valgus. MATERIALS AND METHODS We followed up six children who collectively sustained seven fractures of the proximal tibial...

PURPOSE To identify the effects of using a Ti-Ni shape memory alloy ring shaped bone fixator (SMA-rBF) during the retrograde nailing of supracondylar femoral fractures. MATERIALS AND METHODS The authors reviewed 25 patients with a supracondylar femoral fracture treated by retrograde intramedullary nailing with or without SMA-rBF (group S, 12/25; group N, 13/25). Radiological measurements of a...

Chronic patellar dislocation is a rare condition where the patella remains dislocated throughout knee range of motion during flexion and extension. In adults, the delayed presentation of this condition is often due to symptoms caused by the onset of severe secondary osteoarthritis. To the authors' knowledge, all of the cases reported in the literature have been treated by patellofemoral or tota...