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Introduction An estimated 40% of the United States population have foot problems. 1 Of all patients aged over 50 years, 2.5% report degenerative arthritis of the first metatarsophalangeal (MTP) joint, termed ‘hallux rigidus’. First MTP
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Both the incidence and severity of ankle fractures in elderly patients with considerable comorbidity is rising steadily in most European countries. 1 The patients are predominately women with considerable comorbidities including
Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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-indications. 51 Surgical technique Pre-Operative Considerations The surgical procedure can be performed on an outpatient basis with the patient under spinal or general anaesthesia. The patient is placed in a prone position with the foot and ankle
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conventional radiography, which results in a superimposition of lines and shades mixing bone, joints and soft tissue, making it difficult to ascertain the relative spatial positions of each component. Furthermore, 2D radiographs (XR) have inherent limitations
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. Anterior ‘drawer’ test : helps to identify excessive anterior displacement of the talus on the tibia. The ankle should be placed in a neutral position and the leg should be stabilised over the distal tibia with the patient relaxed. The clinician cups the
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local anaesthesia and sedation. Use of tourniquet is not essential. The patient is positioned in a recovery position on the operated side, 31 or prone. A horizontal incision 1 inch distal to the posterior knee crease is made, overlying the proximal
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland
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AO Research Institute Davos, Davos Switzerland
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fragment fractures and following indirect lag screw fixation ( 58 ). Percutaneous screw positioning in younger patients is performed for Bartoniček type IV fractures without an intercalary fragment or impaction ( 56 ). In the elderly patient, anterior
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al 32 modified the hindfoot alignment view in order to prevent the natural standing position of the patient. Using this technique, better interpretation of the relationship between the tibia and the calcaneus and thus the hindfoot alignment is
Faculty of Medicine, Geneva University, Switzerland
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Faculty of Medicine, Geneva University, Switzerland
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way of the operator’s instruments. An intraoperative CBCT scan is then acquired after ensuring satisfactory position and fixation of the reference frame. Fig. 1 Position of reference frame. (a, b) Patient reference frame fixation on the target
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Introduction Osteoarthritis (OA) of the ankle occurs in approximately 1% of the population, and the majority of patients have developed secondary arthritis due to fractures around the ankle joint. 1 Primary degenerative arthritis, with no
