Distal Clavicle Resection Using a Combined Anterior and Posterior Arthroscopic Approach.

Background: Distal clavicle resections are an effective treatment for subacromial impingement caused by clavicular pathologies. Causes include but are not limited to degenerative osteoarthritis, infection, malunion after trauma, and inflammatory arthritis. There are multiple variations of the procedure with different potential complications, including open and arthroscopic (direct, indirect).

High mortality rates after distal femur fractures in patients with end-stage renal disease.

Objectives: Hip fractures in patients with end-stage renal disease (ESRD) are associated with high mortality rates. The effect of ESRD on mortality after operative treatment of distal femur fractures is not known. Our hypothesis was that distal femur fractures carry a similar mortality risk and complication rate compared with proximal femur fractures in patients with ESRD.

High rate of complications after operative fixation of open periprosthetic distal femur fractures.

Introduction: The rate of open distal periprosthetic femur fractures is rising because of the aging population and increase in the frequency of total knee arthroplasties. Operative fixation of these complex injuries is often challenging. Multiple studies have evaluated outcomes of closed distal femur fractures, but outcomes after open injuries are unclear.

Imaging evaluation of extraarticular posterior loose bodies in varus ankle osteoarthritis.

Multiple loose bodies (LBs) are often found in patients with varus ankle osteoarthritis (OA). This study aimed to investigate the characteristics of extra-articular posterior ankle LBs in patients with varus ankle OA. We also sought to determine whether there were variations in the characteristics of LBs according to the degree of ankle OA.

Serum Fructosamine as an Indicator of Perioperative Complications in Patients Undergoing Foot and Ankle Surgery.

Background: Patients with poor glycemic control are at increased risk of postoperative complications. Hemoglobin A (HbA) has traditionally been used to assess preoperative glycemic control, but with limitations. More recently, fructosamine has been tested preoperatively in patients undergoing elective total joint arthroplasty.

Classification and Radiology.

The classification systems of hallux rigidus, including the Coughlin and Shurnas, Hattrup and Johnson, Regnauld, and Roukis classifications, allow for a comprehensive understanding of the condition's severity and aid in informed treatment decisions. The common techniques of radiological imaging, such as standard plain film radiographs, MRI, magnetic resonance arthrography computed tomography (CT), weightbearing CT, and ultrasound, which enable accurate assessment of joint degeneration and associated pathologies for optimal patient care, are reviewed.

Total Hip Arthroplasty for Secondary Causes of Arthritis An Increase in Time and Money.

Background: Total hip arthroplasty (THA) is a frequently performed, highly successful orthopedic procedure. Although primary osteoarthritis (PA) is the most common reason for (THA), there are several secondary conditions that lead to degenerative hip disease that are successfully treated with THA. The purpose of this study was to examine the incidence of these secondary causes of arthritis (SA) leading to THA and to compare the relative surgical costs, operating times, and hospital length of stay (LOS) for THA done for PA versus SA.

Surgical correction of hallux valgus complicated with adult-type pes plano-valgus.

Purpose: To investigate the efficiency of simultaneous correction of moderate to severe hallux valgus deformity and adult-type pes planus.

Methods: Twenty cases of moderate to severe hallux valgus complicated with adult-type pes planus in 19 consecutive patients (15 (79%) women, 4 (11%) men; mean age: 44.50 ± 17.

Comparison of Postoperative Height Changes of the Second Metatarsal Among 3 Osteotomy Methods for Hallux Valgus Deformity Correction.

Background: We aimed to compare the postoperative height of the second metatarsal head relative to the first metatarsal head using axial radiographs among 3 different commonly used osteotomy techniques: proximal chevron metatarsal osteotomy (PCMO), scarf osteotomy, and distal chevron metatarsal osteotomy (DCMO).

Methods: We retrospectively reviewed the radiographs and clinical findings of the patients with painful callosities under the second metatarsal head, complicated by hallux valgus, who underwent isolated PCMO, scarf osteotomy, or DCMO from February 2005 to January 2015. Each osteotomy was performed with 20 degrees of plantar ward obliquity.

Late Onset Osteonecrosis of the Proximal Phalanx of the Great Toe in a Child.

Osteonecrosis, also known as avascular necrosis or osteochondrosis, refers to the death of bone tissue resulting from a to lack of blood supply. Osteonecrosis of the foot is most commonly seen in the talus and metatarsals and not as frequently in other bones. We report an extremely rare case of late-onset osteonecrosis of the proximal phalangeal head of the great toe in a 9-year-old male.