ABSTRACT
@#Introduction: Charcot arthropathy is a condition which is progressive, non-infectious, destructive and debilitating that commonly affect foot and ankle. This systematic review is to evaluate the occurrence of common outcomes associated with each intervention of Charcot neuroarthropathy in midfoot. Materials and methods: A systematic review on literatures that were published from Jan 2010 to Jan 2020 were collected, reviewed and selected regarding the surgical treatment procedures of Charcot neuroarthropathy in midfoot. Results: The initial search yielded 231 reports and after exclusion, nine out of the total studies were included in the outcome analysis for review. These were studies that included data concerning surgical reconstruction of Charcot arthropathy in the midfoot. Conclusion: It is suggested that soft tissue preparation and usage of combination of implants thus reduce the risk of infection as well as increase rigidity of construct, respectively. These factors will aid to improve outcome of midfoot Charcot arthropathy reconstruction.
ABSTRACT
@#A bent intramedullary (IM) nail becomes challenging and technically demanding to the orthopaedic surgeon for nail extraction. A broken nail can be easily removed through the fracture site. However, a bent nail has to be broken before it can be removed. Several studies and case reports outline the strategies and techniques for removing a bent IM nail. However, there is a paucity of guidelines and standard protocol describing the best and inexpensive strategy. We report a case where two years following surgery for intramedullary nailing of the right femur, the IM mail was bent following secondary trauma. We used a technique based on the principles of an ability to fully cut the nail and extract it in two pieces by using a Jumbo cutter which is available in the orthopaedic armamentarium. This technique is simple yet economical, with the likelihood of causing less soft tissue damage and thermal necrosis.
ABSTRACT
@#Peroneal tendon tear is a relatively common cause of lateral ankle pain but often missed due to mixed presentation or low index of suspicion. Left untreated, peroneal injuries can lead to persistent ankle pain, instability and ultimately substantial functional disabilities. An isolated peroneus longus tear is rare with the lowest incidence rate compared to isolated peroneus brevis tear and mixed tear of both peroneal tendon. This is a case report of a 49-year-old lady with a chronic left ankle pain who ultimately underwent surgery for an isolated peroneus longus tear.
ABSTRACT
@#Bilateral clavicle fractures are not frequently seen. To treatthese injuries surgically or non-surgically is still a debatableissue. Implant option for surgical management is also indoubt. We would like to share our experience in treating apatient with bilateral clavicle fracture surgically. He hadexcellent outcomes in terms of function and radiology.Surgical option for bilateral clavicle fractures promisesexcellent outcome in terms of early rehabilitation and returnin function.
ABSTRACT
The best treatment option in ankle arthritis have always been debated. It is either ankle arthroplasty or arthrodesis. The incidence of ankle arthritishas increased over the recent decades due to the increasing life span of the population and incidence of injuries sustained during sporting events. Although arthrodesis is still largely regarded as the gold standard for it is a safe procedure but in long term, several studies have reported complications such as arthritis in adjacent joints, hip dysfunction and knee problems. Currently results have shown that ankle arthroplasty offers a better long term results than arthrodesis especially in view of patient’s satisfaction and its good functional outcome. This review article aims to analyse both options and their respective outcomes.