Local factors Host factors Infection Tobacco use Insufficient fixation Vitamin D deficiency/insufficiency Poor reduction/gapping Thyroid dysfunction Malalignment Parathyroid dysfunction Poor site preparation/debridement Diabetes mellitus Thermal necrosis Premature weight bearing Soft…
Fig. 4.1 A 34-year-old male presented to the clinic with chronic ankle pain from numerous inversion ankle injuries. Radiographs revealed a large osseous fragment (figure) over the anterior medial aspect…
Fig. 29.1 (a) Preoperative TTC arthrodesis patient with diabetes sent for angiography. Confirmed occlusion of anterior tibialis artery. (b) Poststenting procedure showing significantly improved flow (Courtesy of Dr. Patrick Antoun)…
Fig. 14.1 Detritic synovitis from a silicone implant Fig. 14.2 Erosion of the plantar aspect of the proximal phalanx (red arrow) Metallic implants may still present with a similar detritic…
Fig. 11.1 (a, b) Comparison of inherent shortening of the Chevrons vs. Mitchell verse osteotomy On the other hand, base procedures are inherently less stable than head procedures secondary to…
Berndt and Harty classification system for OLTs [9] Stage 1 Small subchondral compression fracture Stage 2 Partially detached fragment of the cartilage Stage 3 Completely detached fragment of the cartilage…
Fig. 18.1 (a) Dorsal view of the talus. (b) Lateral view of the talus. (c) Medial view of the talus. (d) Plantar view of the talus The talar neck ,…
Fig. 27.1 Unstressed lateral radiograph . (a) Positive anterior drawer with stressed lateral radiograph showing anterior displacement of the talus on the tibia. (b) Unstressed AP radiograph of the ankle….
Fig. 5.1 Clinical presentation 3 days post-op. Notice the significant intensity and extent of the erythema and edema. There is no drainage, but with these cardinal signs of infection, one should…
