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loading of the forefoot. Causes of iatrogenic transfer metatarsalgia The biomechanics of transfer metatarsalgia, as described earlier, can be understood more easily if we classify its causes based on the planes that they have failed in. As we are
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difficult to revise if it fails. 7 Initially, silicone implants were popular among surgeons and were utilized in patients who were too young and too active for joint replacement surgery. 8 The initial reports on silastic implants showed higher
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complications if ankle fractures were managed non-operatively. 8 They also found that the complication rate for secondary surgical fixation after failed initial non-operative management was 100% vs. 12.5% for primary open reduction and internal fixation (p
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.g. Keller’s procedure, or other ‘old-fashioned’ osteotomies that cause excessive shortening, failed forefoot surgery), are factors that can result in shortening or elevation and secondary de-functioning of the first ray, thus causing transfer load
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Surgery is considered if conservative treatments fail to control the symptoms but operative treatment should only be considered in carefully selected patients. The aim of surgery is to achieve a foot that is plantigrade, mobile and pain-free. In any case
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al. ( 11 ), in 1956, described cyanosis, numbness, and decreased temperature in two patients treated operatively for BF, after repeated attempts at closed reduction had failed. CS associated with BF was for the first time described by Szalay and
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pre-contoured interlocking plate is independent of BMD, whereas fixation strength of non-locking screws is dependent on BMD. 26 However, locking plates can fail in osteoporotic bone with either serial cut-out or serial breakage of the locking
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the insertion of the Achilles into the calcaneus. It is probably most accurate to describe the degenerative process as a failed healing response. 16 Tendinopathy is the commonest pathological condition affecting the tendo Achilles and represents
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treated with LIPUS for ununited 5th metatarsal fractures, initially treated conservatively. 7 Clinical and radiological union was achieved in 90%. Two-thirds of those that failed LIPUS treatment were symptomatic and required surgery (one ORIF, one
Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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University of Basel, Basel, Switzerland
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Department of Orthopedic and Rehabilitation, University of Iowa, Iowa, USA
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Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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Department of Surgery, Universidad de Sevilla, Sevilla, Spain
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-traumatic ankle OA (80% of total) - Inflammatory arthritis - Young and active patients* - Avascular necrosis of the talus^ - Infectious sequelae - Congenital malformations - Neurological foot with malalignment - Failed
