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At least 541 records · Page 30Linked to original sources
PubMed1975

Metatarsal osteotomy for metatarsalgia.

An oblique osteotomy in the distal half of the metatarsal shaft is described for the treatment of metatarsalgia due to prolapse of one or more of the middle three metatarsal heads. Thirty-eight patients who have had this operation have been followed up for a period of from two to five years. The operation is simple, recovery is rapid and symptoms have been well relieved.

Adolescent↗
PubMed1989

The improved Keller arthroplasty.

To deal with the many predictable adverse effects of the Keller arthroplasty, a large and varied array of modifications have been created. From preoperative assessment to postoperative care, from remodeling of bone to soft-tissue alterations, these modifications can be selectively applied to fit the patient's needs as the surgeon deems appropriate. It can easily be seen that the potential of the procedure has been supported by its longevity, but that with all these modifications, we have, in fact, been given the improved Keller arthroplasty.

Hallux↗
PubMed1987

Cockup deformity of the great toe hallux extensus.

Cockup of the great toe is characterized by persistent extension of the first metatarsophalangeal joint; the interphalangeal joint also may be involved. The syndrome has many causes, all easily diagnosed. Surgery is indicated in nearly every instance and will produce a corrected or improved result. The type of surgery--whether reefing, lengthening, or transposition of tendons, implant arthroplasty, or arthrodesis--is tailored to the underlying cause.

Arthrodesis↗
PubMed1988

Subjective results of hallux rigidus following treatment with cheilectomy.

The records of 58 patients who had hallux rigidus and were treated with cheilectomy between 1977 and 1984 showed the following results: 53.4% completely satisfactory, 19% mostly satisfactory, 27.6% unsatisfactory. No deterioration of results with time was apparent. When the results were analyzed in relation to the degenerative changes that were evident in the preoperative roentgenograms, the failure rate was increased from 15% with Grade I changes to 37.5% with Grade III changes. Cheilectomy is the procedure of choice in patients with hallux rigidus and Grade I changes.

Adolescent↗
PubMedDate not supplied

The dorsal synovial fold of the first metatarsophalangeal joint.

This manuscript describes a dorsal synovial fold of the first metatarsophalangeal joint. The structure appears to have been previously overlooked in both podiatric and orthopedic literature. Functional significance and complications of capsular adhesions will also be discussed.

Humans↗
PubMedDate not supplied

Use of a closed drainage system in implant surgery.

The authors advocate intracapsular placement of a closed drainage system in first metatarsophalangeal joint implant procedures. Materials and technique are reviewed. The advantages and disadvantages associated with drain usage are discussed. Preliminary results of a retrospective study are also presented.

Drainage↗
PubMed1985

The role of non-prosthetic surgery in the treatment of rheumatoid arthritis by fusions and auto-arthroplasties. Current practice at the Rheumatism Foundation Hospital, Heinola.

After the introduction of modern artificial joints the classical operation methods, such as osteotomies, arthrodeses and auto-arthroplasties, have been forced aside little by little. Irrespective of the late complications following replacement surgery, the patients today expect a movable, painless endoprosthesis, which at it best seems to benefit the patient. The question arises whether the classical methods still have a role in the surgical treatment of rheumatoid arthritis. The reply is "yes", they do have a fair share of rheumatoid surgery, indeed. They still compete with the modern endoprosthetic surgery for the place of the primary operation in many cases. To give instances, tarsal reconstruction by subtaloid arthrodesis is superior to other methods and arthrodesis of the wrist is often only reasonable way to get a strong, painless key joint to the hand. Even the shoulder arthrodesis may successfully compete with an endoprosthesis. Also classical auto-arthroplasties such as resection arthroplasties of the metacarpophalangeal and elbow joints are serious rivals of respective endoprostheses. The practice of Rheumatism Foundation Hospital (RFH) in the golden mean between the endoprosthesis enthusiasts and their opponents will be described in this article. The practice varies greatly from clinic to clinic and is progressing--and regressing--all the time.

Ankle Joint↗
PubMed1986

Experimental arthritis in a nonhuman primate. I. Induction by bovine type II collagen.

Six squirrel monkeys immunized with native fetal bovine type II collagen (CII) in complete Freund's adjuvant developed arthritis 3 to 6 weeks later. None of three cebus monkeys given CII plus complete Freund's adjuvant or three control squirrel monkeys immunized with complete Freund's adjuvant alone developed arthritis. In four of the squirrel monkeys, arthritis was symmetrical and involved mainly the interphalangeal and metacarpal phalangeal joints. Two other monkeys had pauciarticular disease. Although three monkeys became cachetic and died, the others regained weight and their arthritis spontaneously remitted with minor residual deformities in digits and larger joints. Each squirrel monkey with arthritis had high titers of CII antibodies whereas the arthritis-resistant cebus monkeys had lower titers of CII antibodies whereas the arthritis-resistant cebus monkeys had lower titers of CII antibodies. As an animal model, experimentally induced arthritis in primates appears to resemble an acute arthropathy in man rather than chronic rheumatoid arthritis.

Acute Disease↗