BACKGROUND The authors report the long-term effect of acquired pseudoarthrosis of the fibula on ankle development in children during skeletal growth, and the results of a long-term follow-up of Langenskiold's supramalleolar synostosis to correct an ankle deformity induced by an acquired fibular segmental defect in children. METHODS Since 1980, 19 children with acquired pseudoarthrosis of the ...

BACKGROUND Using a sinus tarsi rotational flap is an uncommon approach to treating chronic open infective lateral malleolus bursitis. METHODS We treated eight patients, including six males, using this approach. First, we debrided all the infected tissues and used a negative pressure wound closure system where needed. After acute infection had been controlled, the local rotational flap was use...

I. M. R. Lowdon, MA, MB DhB, FRCS Ed, FRCS, Senior Registrar in Orthopaedic and Traumatic Surgery John Radcliffe Hospital, Headington, Oxford OX39DU, England. C 1985 British Editorial Society of Bone and Joint Surgery 0301-620X/85/ 1007 $2.00 _____________ dorsum of the foot. There was no history of trauma, but walking exacerbated his symptoms and the pain occasionally radiated into his thigh. ...

OBJECTIVE To demonstrate the bifurcation pattern of the tibial nerve and its branches. METHODS Eleven legs of seven fresh cadavers were dissected. The reference line for the bifurcation point of tibial nerve branches was an imaginary horizontal line passing the tip of the medial malleolus. The distances between the reference line and the bifurcation points were measured. The bifurcation branc...

Using surface electrodes, sensory nerve action potentials (SAP) have been recorded in the proximal segment (mid-calf to lateral malleolus) and the distal segment (lateral malleolus to toe 5) of the sural nerve and in the median nerve in 79 control subjects. The values obtained for the distal segment of the sural nerve varied widely and in seven apparently normal subjects no SAP could be disting...

There has been a resurgence in the treatment of end-stage tibiotalar arthritis with prosthetic replacement. This procedure has highlighted numerous complications including malleolar fracture. We wanted to determine the clinical relevance of malleolar fracture with the two most commonly used implants in the United States. We retrospectively compared the first 20 STAR with the first 25 Agility to...

PURPOSE To describe a modified incision for the Brostrom procedure to correct lateral ankle instability. METHODS 14 men and 12 women aged 23 to 38 (mean, 27) years with lateral ankle instability underwent the Brostrom procedure with a modified incision to repair both the anterior talofibular and calcaneofibular ligaments, without endangering the sural or superficial peroneal nerves. The incis...