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At least 685 records · Page 38Linked to original sources
PubMed2006

Proximal interphalangeal joint arthrodesis using a combination plate-screw technique in 53 horses (1994-2003).

REASONS FOR PERFORMING STUDY: A method for proximal interphalangeal joint (PIP joint) arthrodesis that provides a stable fixation and minimal duration of cast support is evaluated retrospectively. OBJECTIVES: Evaluate the clinical use of a combined plate-screw method for PIP joint arthrodesis in a large number of horses. METHODS: The records of 53 horses undergoing PIP joint arthrodesis were reviewed. Arthrodesis was performed with a dorsally placed 3-, 4- or 5-hole narrow dynamic compression plate (DCP) with 2 transarticular cortex screws placed in lag fashion either side of the plate. Subject details, clinical presentation, radiographic findings, surgical technique, post operative treatment and complications were recorded. Long-term follow up (mean 3 years) was obtained for 46 horses. RESULTS: Arthrodesis procedures (n = 58) were performed on 53 horses with a DCP in combination with transarticular cortex screws placed in lag fashion. Conditions treated were osteoarthritis (OA) of the PIP joint, fracture of middle phalanx, PIP joint subluxation, subchondral cystic lesions and degenerative joint disease secondary to sepsis. Time of post operative cast application was 14 days. Overall 40/46 (87%) horses could be used as intended including 20/25 (81%) forelimb and 20/21 (95%) hindlimb arthrodeses. Twenty-three of 27 (85%) horses used for performance had successful outcomes. Complications included implant infection, cast sores and partial implant failure. CONCLUSIONS: PIP joint arthrodesis using a DCP and transarticular cortex screws placed in lag fashion provides a stable construct and short casting period with minimal complications. The prognosis for return to performance was excellent for horses treated with hindlimb PIP joint arthrodesis and good for forelimb arthrodesis. POTENTIAL RELEVANCE: Use of a combination technique for PIP joint arthrodesis allows a high proportion of horses with pastern joint disease to be returned to their athletic potential.

Animals↗
PubMed1975

[Clinico-experimental study of different types of allotenoplasty].

The results of an experimental study carried out on 140 rabbits with the aim to investigate auto- and allotendinoplasty are briefly described. General clinical, morphological, lymphographic and histochemical data allowed a conclusion as to the presence of a decreased lymphoido-plasmocytic reaction as the process of replacement of conserved allogenic grafts by connective tissue proceeded. Clinical utilization of conserved tendinous allografts in 32 patients in restoration of 41 injured digital tendons revealed positive aspects of this kind of tendinoplasty.

Achilles Tendon↗
PubMedDate not supplied

Arthrodesis of the first metatarsophalangeal joint: a review of the literature and long-term retrospective analysis.

A retrospective analysis of arthrodesis of the first metatarsophalangeal joint was done to determine the procedure's long-term subjective and objective results. The authors reviewed the long-term results of arthrodesis in 25 patients with 32 operated feet. The average age was 54.8 years (range 22 to 72 years), and the average length of follow-up was 31.9 months (range 12 to 84 months). The patients were questioned regarding pain, activity, cosmesis, and willingness to have the operation performed again. The subjective results were good or excellent in 26 feet (81% success rate). The primary postoperative complaints were pain in the interphalangeal joint (four feet), and a callosity or pain under the first metatarsal head (four feet). Radiographic examination revealed that the procedure provided a good reduction of the hallux valgus angle (preoperative average 33.7 degrees; postoperative average 17.4 degrees) and intermetatarsal angle (preoperative average 16.2 degrees; postoperative average 12.0 degrees). The authors believe that this procedure is a reliable, effective treatment whenever stability is required at the first metatarsophalangeal joint.

Adult↗
PubMedDate not supplied

Retrospective analysis of surgical treatment of hallux rigidus/limitus: clinical and radiographic follow-up of hinged, silastic implant arthroplasty and cheilectomy.

Many authors have hypothesized on the etiology of hallux limitus and have proposed grading systems for classifying the degree of first metatarsophalangeal joint derangement and dysfunction. Several opinions exist regarding surgical treatment, should a patient fail with conservative therapy. Hinged, Silastic implant arthroplasty and cheilectomy account for a significant proportion of procedures accomplished. However, little follow-up documents and critically analyzes the long-term results of these procedures. This study analyzes, retrospectively, the results of these procedures with a minimum follow-up of 46 months. Hinged, Silastic implant arthroplasty appears to be a safe, technically easy, efficacious procedure in the grade II to III lesion in patients of 60 years or older, in whom an active life-style is desired. Cheilectomy appears to be indicated in the patient with a classic grade I lesion, while its use in grade II lesions, especially in the presence of sesamoid disease, requires further investigation.

Arthroplasty↗
PubMed1988

Metatarsophalangeal joint synovitis in athletes.

Metatarsophalangeal joint synovitis is a clinical entity of the forefoot with distinct findings. From a survey of 46 patients, characteristics and clinical findings are presented. Differential diagnosis and methods of treatment are discussed.

Adolescent↗
PubMedDate not supplied

Lesser metatarsophalangeal joint implants.

A double-stemmed MTP joint silastic implant has been described that acts as a flexible spacer for a number of pathologic conditions that affect the lesser metatarsophalangeal joints. Preliminary results suggest that this is a feasible alternative to joint destructive procedures with advantages over previously described implants.

Aged↗
PubMedDate not supplied

Silicone shard formation: a product of implant arthroplasty.

Silicone shard formation appears to be an unavoidable result of implant arthroplasty. In light of this phenomenon, the authors present a review of the literature and an examination of the causes of microfragmentation of pedal implants.

Female↗
PubMed1996

Traumatic injuries of the first ray.

Injuries involving the first ray are common and can lead to significant pain and disability. The management of these injuries, both conservative and surgical, is discussed in this article. Treatment goals include recreating a uniformly plantigrade weight-bearing surface under all the metatarsal heads, preserving functional anatomy, and preventing traumatic arthritis while maintaining a supple, pliable foot. Many of these injuries can be prevented by use of proper, protective shoegear.

Adolescent↗
PubMedDate not supplied

Hammer toe correction by arthrodesis of the proximal interphalangeal joint using a cortical bone allograft pin.

In hammer toe correction by means of digital fusion, fixation so that the bone can unite while maintaining appropriate realignment can be a challenge. Metal fixation pins can be associated with many problems and potential complications. The author presents a method of rigid internal fixation using 2.4-mm-diameter pins fashioned out of freeze-dried allogeneic cortical bone. These devices avoid most of the risks of metal pins. Proximal interphalangeal joint arthrodesis using cortical bone pins was performed on 26 toes in 18 patients with very few complications. The author concludes that use of cortical bone pins can yield successful results in most cases. The outcomes of the fusions can be further enhanced by using flexor digitorum longus tendon transfer.

Adult↗