Metatarsal Lengthening in Revision Hallux Valgus Surgery

May 27, 2017 by in ORTHOPEDIC Comments Off on Metatarsal Lengthening in Revision Hallux Valgus Surgery

   Shortening of the first metatarsal may occur after first metatarsal osteotomies for hallux valgus correction.1–3    If the first metatarsal is considerably shortened, the patient may develop painful transfer metatarsalgia of…

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First Metatarsophalangeal Joint Hemiarthroplasty

May 27, 2017 by in ORTHOPEDIC Comments Off on First Metatarsophalangeal Joint Hemiarthroplasty

   Hallux rigidus is arthritis of the first metatarsophalangeal (MTP) joint.    The amount of arthritis can range from focal areas of cartilage injury or osteophyte formation without joint space narrowing to…

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Total Ankle Shell Allograft Reconstruction

May 27, 2017 by in ORTHOPEDIC Comments Off on Total Ankle Shell Allograft Reconstruction

   Articular defects of the tibiotalar joint, posttraumatic arthritis, and osteoarthritis can limit activity, make walking difficult, and lead to severe pain.    Unlike the knee and hip, primary arthritis rarely affects…

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First Metatarsophalangeal Total Joint Arthroplasty

May 27, 2017 by in ORTHOPEDIC Comments Off on First Metatarsophalangeal Total Joint Arthroplasty

   The Roto-Glide (Implants International, Cleveland, United Kingdom; distributed by Intercus, Bad Blankenburg, Germany) is a noncemented TiCaP surfaced three-component device for total replacement of the first metatarsophalangeal (MTP-1) joint (FIG…

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Medial Cuneiform Osteotomy

May 27, 2017 by in ORTHOPEDIC Comments Off on Medial Cuneiform Osteotomy

   Forefoot varus is a component of the multiplanar pes planovalgus deformity that occurs as a result of posterior tibial tendon insufficiency.    In addition to being a component of adult acquired…

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Dorsal Cheilectomy for Hallux Rigidus

May 27, 2017 by in ORTHOPEDIC Comments Off on Dorsal Cheilectomy for Hallux Rigidus

   Hallux rigidus refers to limited dorsiflexion of the first metatarsophalangeal (MTP) joint as a result of dorsal osteophyte impingement.    Plantarflexion is typically not limited but may be restricted if a…

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