A prospective trial is reported which compares distal osteotomy of the first metatarsal with Keller's arthroplasty in the treatment of adult hallux valgus. A total of 33 patients attended for review at least three years after operation. Symptomatic improvement, as assessed by patient satisfaction, pain relief, cosmetic improvement and restoration of function, was similar in the two groups. Obje...

A retrospective observational study was performed to determine if early ambulation compromised healing in patients who underwent primary first metatarsophalangeal joint arthrodesis. The records of 42 patients undergoing 47 fusions were evaluated to determine time to radiographic union, time to clinical union, and return to regular shoes. Results showed that patients achieved clinical healing at...

Background: Little is known about the rate and reasons for revision after primary Metatarsophalangeal (MTP1) arthrodesis with latest implants. While it commonly assumed that nonunion accounts most reoperations, we hypothesized malposition leading cause of revision. The aim this study was to determine MTP1 using cup- cone-reamers locking plate technology. Method: Between 2015 2017, 120 consecuti...

Kinematic models are commonly used to quantify foot and ankle kinematics, yet no marker sets or models have been proven reliable or accurate when wearing shoes. Further, the minimal detectable difference of a developed model is often not reported. We present a kinematic model that is reliable, accurate and sensitive to describe the kinematics of the foot-shoe complex and lower leg during walkin...