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footwear and the design and fitting of insoles. It can bring pain alleviation but no conservative treatment has the faculty to correct the deformity. Fig. 1 Indirect signs of first ray insufficiency include: a) osteoarthritis of the second tarso
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that can compromise intra-osseous vascular flow. Many other aetiological factors can occur such as abnormal bone development in Kohler disease. Also, osteoarthritis, and systemic metabolic and autoimmune diseases that increase the risk of osteonecrosis
Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
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Department of Biomedical Engineering, University of Basel, Basel, Switzerland
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Murdoch Children’s Research Institute, Melbourne, Victoria, Australia
The University of Melbourne, Melbourne School of Engineering, Melbourne, Victoria, Australia
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Laboratory for Movement Analysis, University of Basel Children’s Hospital, Basel, Switzerland
Department of Biomedical Engineering, University of Basel, Basel, Switzerland
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and the matrix are influenced by mechanical loads which provoke a homeostatic response ( 15 , 16 ). Many studies established the role that increased loads may have on the development of knee osteoarthritis (OA) ( 15 , 17 , 18 , 19 ). For example
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Introduction Osteoarthritis (OA) of the first metatarsophalangeal joint (MTPJ) has been reported to affect between 35% and 65% of adults older than 65 years. 1 The pain and stiffness associated with osteoarthritis of the first MTPJ can
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. report a good outcome 6 years after conservative treatment (without restriction of activity) of OLT with a decrease of VAS pain score from 3.8 to 0.9 and no progression of osteoarthritis ( 14 ). Injective treatments have been introduced. Infiltration of
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-operatively. Thereafter, progressive weight-bearing can be started along with an exercise programme. 35 Previous ankle osteoarthritis is a predictor of poor outcome of these techniques, so tibiotalar arthrodesis is then preferred. 35 , 40 Lesions of the ankle
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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.1 years. The minimum duration of follow-up was 6 months, and the mean was 17 months. The most frequent preoperative intra-articular diagnoses were subtalar osteoarthritis (46 ankles), an osteochondral lesion of the talus (42 ankles), posterior ankle
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dorsal wedge osteotomy provides a spontaneous reduction of calcaneal slope. If the talus is tilted in the mortise on the anteroposterior (AP) ankle view, the cavovarus foot is at risk of osteoarthritis related to increased point loading. 39 It is
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have been: flat foot, the subtalar joint, the distal tibiofibular joint, varus tibiotalar osteoarthritis, first ray hypermobility, hallux rigidus (HR) and hallux valgus (HV). These recent and pioneering papers focused on identifying or confirming
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arthrodesis Fusion of the first MTP joint was first described by Clutton in 1894. 38 It is recommended in the literature as the treatment for numerous conditions including severe hallux valgus, osteoarthritis, rheumatoid arthritis and as a salvage
