The Foot
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Case Reports
An extensive primary nodular melanoma of the foot with associated distant metastases: a case report.
A Nodular Melanoma of the foot is a relatively uncommon disease, which accounts for the dearth of literature. The anatomical location of a primary malignant melanoma is of prognostic importance as primary lesions of the foot and ankle have poorer prognostic outcomes. This single case reports a life-threatening presentation, of a primary nodular melanoma of the foot with associated distant metastases of the skeletal system, organs and lymph nodes.
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Comparative Study
Joint preserving surgery for rheumatoid forefoot deformities improves pain and corrects deformity at midterm follow-up.
Rheumatoid arthritis is a chronic autoimmune disorder that commonly affects the metatarsophalangeal (MTP) joints. Conventional surgical treatment involves joint-sacrificing surgery to relieve pain and correct deformity. ⋯ In intermediate to severe stages of the disease, joint preserving surgery by Scarf osteotomy of the first MTP joint and Weil osteotomy of the lesser metatarsals may be performed as an alternative to joint-sacrificing procedures and should be considered as a complement to the various surgical treatments of the rheumatoid forefoot.
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Comparative Study
Metalwork removal in elective foot and ankle practice: does it make any difference to the patient?
Increasing use of metalwork in foot and ankle surgery has led to an increasing number of subsequent surgeries for metalwork removal. The aim of the current study was to determine whether removing metalwork from foot and ankle makes any difference to the patients in terms of pain, function or shoe wear related outcomes. ⋯ We can recommend removal of metalwork in symptomatic patients after 1st ray surgeries but other foot and ankle surgeries require further investigation.
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The supination line is a fictive line along the foot and ankle, on which over twenty fracture types and approximately ten different ligamentous sprain-injuries have been identified. ⋯ Detection of injuries along the supination line remains difficult. This study might aid in decreasing the number of misdiagnosed injuries, which is of value as these might negatively affect outcome.
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Case Reports
Reconstruction of bilateral spontaneous chronic idiopathic Achilles tendon rupture using LARS ligament: Case report.
Spontaneous bilateral idiopathic rupture of Achilles tendon is rare and usually results from sudden dorsiflexion of a plantar-flexed foot; the tendon is most often degenerated or diseased, and spontaneous bilateral rupture is not rare in patients suffering from chronic diseases. Management problems relate to reconstruction options and issues with early ambulation and weight bearing. ⋯ Despite the fact that artificial ligaments allow biointegration and can withstand stresses of early weight bearing, they often lead to wound related problems. Judicious use is advocated and good cases for their use maybe bilateral TA repair in neglected tears with gaps.