The Foot
Review of the literature reveals very little knowledge of the motion which occurs at the tarsometatarsal joints in normal individuals. This paper makes use of the technique of roentogen-stereophotogrammetric analysis (RSA) 1 to analyse the motion occurring between the medial cuneiform the first metatarsal and the cuboid and the fifth metatarsal. In addition, the relative motion between the...
Three patients with isolated and uni-lateral osteoarthritis of the talo-navicular joint were treated with isolated talo-navicular arthrodesis. Peroperatively tantalum beads were implanted in the calcanear, navicular and cuboid bones of both feet. Radiostereometry of both feet in standing varus and valgus positions confirmed that the arthrodeses had healed with a substantial reduction of motion in...
Footprints are commonly utilized to quantify spatial parameters of gait to establish normative data for the purpose of research and to assist in the recognition of abnormal function. Investigation into the analysis of footprints revealed discrepancies in measurement technique and a lack of precise landmark definitions. The purpose of this paper is to outline the inception of reference points and measurement...
The use of foot pressure measurements is established in orthopaedic and diabetic foot research. This study was designed to assess whether plantar ultrasound might be used to substitute for foot pressure measurements in research or clinical practice. In matched groups of control, diabetic and rheumatoid patients, ultrasound measurements of plantar tissue thickness were reduced in neuropathic diabetic...
To design a measuring and grading system for calcaneal spurs and determine the incidence and dimensions of calcaneal spurs in plantar fasciitis, hindfoot lateral radiographs were studied, comparing patients who had a consultant diagnosis of plantar fasciitis with controls, matched for age, sex, side and total calcaneal length. Observers graded calcaneal spurs into four groups; (absent to severe),...
The efficacy of a regional route for antibiotic prophylaxis in elective foot surgery was investigated in 20 patients and compared with the standard systemic intravenous method in 47 patients using two third-generation cephalosporins (ceftazidime and ceftriaxone). Each antibiotic (2 g) was given intravenously as the standard systemic prophylaxis at different intervals (10 min, 20 min, 2 h and 4 h)...
A 26-year-old healthy male presented with ankle pain for 3 years. There was no history of trauma at the onset of symptoms. Radiographic examination and a computed tomography (CT) revealed a 7 x 5 mm osteoid osteoma in the neck of the talus. This case report demonstrates computed tomography-guided indication of the lesion in local anaesthesia with the patient awake in the CT suite followed by percutaneous...
Twelve patients (17 feet) with a painful bunionette were treated by reversed Mitchell osteotomy. Ten patients (14 feet) were reviewed 48 months postoperatively. Of the patients reviewed, 9 out of 10 were satisfied with the end result, but the complication rate is higher than that reported for other simpler procedures.
A cadaveric study was designed to assess and compare the disruption of blood supply to the ankle after alternative methods of arthrodesis; performed via open arthrotomy with malleolar ostectomy, using enlarged arthroscopic portals to the ankle. The popliteal arteries of five paris of fresh cadaver legs were cannulated and infused with a radiopaque mixture. A tibiotalar arthrodesis was then performed...
With the advent of microcomputer technology, in-shoe systems for evaluating dynamic plantar pressure are now available. The use of dynamic registration of hallux valgus patients in floor mounted systems has been shown (Betts, Franks and Duckworth 1991).Twenty-four patients were evaluated preoperatively and 25 months after hallux valgus surgery. Fourteen patients (22 feet) were operated with a chevron...
To investigate the effect of calcaneal osteotomy on tibiotalar joint contact patterns in a normal and a flatfoot model, we axially loaded 11 fresh frozen cadaver legs with 700 N and quantified tibiotalar joint contact characteristics using Fuji superlow pressure film. For each testing sequence, the unconstrained foot was loaded in neutral, 10 o dorsiflexion, and 10 o plantarflexion...
Fractures of the body of the talus in the sagittal plane are very rare. The definition, however, is unclear. We therefore reviewed nine cases of this type of fracture in our series. The rate of occurrence was 4.6% of major talar fractures. Analysis of radiographys revealed a characteristic fracture line which follows a particular path from the lateral entrance of the sinus tarsi to the sulcus of the...