RESUMO
BACKGROUND: Treatment for metatarsal head avascular necrosis is largely conservative. For severe or refractory cases there are various surgical options. METHODS: We have performed a 'modified Weil's osteotomy' of the distal metatarsal in order to manage this problem. We present the largest case series, to our knowledge, with 17 such cases. The patients were scored pre- and post-operatively using the AOFAS Forefoot scoring system. RESULTS: We found that this procedure provided a mean score improvement of 36 points, with a complication rate of 5.9%. CONCLUSION: We would advocate this modified osteotomy as an effective, reliable and safe treatment option.
Assuntos
Ossos do Metatarso/cirurgia , Osteonecrose/cirurgia , Osteotomia/métodos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Osteonecrose/diagnóstico , Resultado do Tratamento , Adulto JovemRESUMO
In the Tayside plastic surgical unit where this study was carried out, regular audits of all excised basal cell carcinomas have taken place routinely every three months for over ten years. A five-year review of excised basal cell carcinomas was undertaken between 1st February 1999 and 31st January 2004. A total of 3006 primary lesions were excised and the incomplete excision rate was 3.2%. This is low compared to other published series. The regions of the body from where these were excised are reported along with the histological subtypes of incompletely excised lesions and the further treatment of patients with incompletely excised lesions. Further treatment and follow-up of patients after surgically excised basal cell carcinoma is discussed.