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In this retrospective study, a series of 10 elective patients treated with transfer of the tibialis posterior (TP) tendon for pes cavus and drop foot are described. Since TP transfer completely subtracts the role of this tendon, this cohort of patients provides an opportunity to examine the consequences of tibialis posterior (TP) deficiency. After a mean follow up period of 44.7 months, only one patient...
The spring ligament (SL) is increasingly recognised as the major structure that fails in acquired adult flatfoot deformity (AAFD). This is the first study that demonstrates integrity of repair of the SL.Six pairs of fresh frozen cadavers were setup in a standardised fashion with ankle in plantargrade (mean age 59 years, BMI 25).A 25N lateral force was applied to the medial metatarsal head using an...
The spring (calcaneonavicular) ligament is an intricate multiligament complex whose primary role is to stabilise the medial longitudinal arch and head of talus. Clinical suspicion of a spring ligament injury in isolation is roused when persistent medial midfoot pain is present with associated pes planus following trauma.We undertook a cadaveric study on 21 specimens to assess the use of a neutral...
Tuberculosis is one of the leading causes of death worldwide amongst curable diseases. It is estimated that one-third of the world's population has been diagnosed with tuberculosis infection [1]. The prevalence is on the rise with an estimated 9.4 million new cases per year worldwide [1]. Tuberculosis most commonly presents with pulmonary involvement. However, approximately 23–30% of patients found...
Foot pathology presents a diagnostic challenge in diabetic patients with co-existent peripheral neuropathy. Pain is a key feature that assists in accurate diagnosis of disease and monitoring response to treatment.We present a 71-year-old gentleman with peripheral neuropathy who reported mild midfoot pain that was associated with bony erosions throughout the midfoot. He had recently undergone amputation...
A 33-year-old lady presented to our unit after multiple failed debridements of a foot ulcer developing after wading in stagnant water. Despite culturing polymicrobial flora and receiving long-term antibiotics the ulcer failed to improve. After presenting to our unit, all antibiotics were stopped for 7 days and several deep samples were taken which grew avid fast bacilli in several samples. Mycobacterium...
The application and use of a safe finger tourniquet is important in hand surgery. The advantage of the rolled glove technique is that the digit is exsanguinated as the tourniquet is put in place. The use of a coloured glove greater than the subject's hand size is recommended to provide a safe adequate tourniquet pressure whilst avoiding the mistake of leaving it in place once the surgical procedure...
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