Orthosphere Arthroplasty for Fifth Tarsal Metatatarsal Arthritis: A Case Presentation
The Foot & Ankle Journal
Original article:A case describing the use of the Orthosphere® Zirconia Ceramic Implant (Wright Medical Technology, Arlington, TN) is presented. The tarso-metatarsal joints in the foot are common sites for degenerative arthritis and pain secondary to trauma and biomechanical abnormalities. Often, conservative treatment is unsuccessful in relieving symptoms, and surgical intervention is required. The clinical presentation and surgical indications for use of the implant is described. A case is presented describing the indications and surgical technique. This implant has practical and promising implications for use in tarsal-metatarsal joint arthritis.
Allergic Contact Dermatitis of the Foot after use of Mastisol Skin Adhesive: A Case Report
The Foot & Ankle Journal
ORIGINAL ARTICLE:A case report describes an acute allergic contact dermatitis (ACD) to Mastisol following foot surgery. A patch test was used to determine whether the patient was allergic to the DuraPrep skin prep, Steri-Strips or Mastisol skin adhesive. Reaction to all patch sites with Mastisol was observed. The contact allergy resolved within 3 to 5 days after starting oral Benadryl, Medrol and topical saline compresses. Initial presentation, patch testing and treatments are presented.
Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block
Journal of Orthopaedic Surgery and Research
Original article: Pain and emesis are the two major complaints after day case surgery. Local anaesthesia has become an important part of optimizing intra and post-operative pain treatment, but is sometimes not entirely sufficient. The aim of the present study was to study the effect of adding an ankle block to a multi-modal analgesic approach on the first 24-hour-need for rescue analgesia in patients undergoing elective Hallux Valgus surgery. Type of study: Prospective, randomized patient-blind study comparing ankle block with levo-bupivacaine, lidocaine and Saline placebo control. Ninety patients were studied comparing ankle block (15 cc) using levo-bupivacaine 2.5 mg/ml, lidocaine 10 mg/ml or placebo (saline) on day-case elective Hallux Valgus surgery, supported by general anaesthesia in all cases. Primary study endpoint was number of patientas requiring oral analgesics during the first 24 post-operative hours.
Delayed Primary Closure of Diabetic Foot Wounds using the DermaClose RC Tissue Expander
The Foot & Ankle Journal 
Original article: Closure of large wounds has been a challenge in podiatric surgery, especially after large defects created by ulcer debridement, metatarsal resection and amputation. The DermaClose RC tissue expander allows for closure of large defects without the need for traditional complex skin closure, tissue grafting or creation of skin and tissue flaps. Skin anchors made of surgical steel clips are used with a tension controller to allow for gentle skin stretching on the subcutaneous planes of the wound or defect. It also has special application in the closure of chronic wounds. Two case reports are presented to describe this technique.
Modified Brostrom-Evans-Gould technique for recurrent lateral ankle ligament instability
Journal of Orthopaedic Surgery
Original article: Between August 2003 and June 2005, 20 men aged 19 to 35 (mean, 23) years with chronic lateral instability affecting 21 ankles, underwent the modified Brostrom-Evans-Gould technique by a single surgeon. The mean follow-up period was 12 (range, 6-20) months. Patients were assessed preoperatively and postoperatively using the Kaikkonen Ankle Scoring Scale. RESULTS. Preoperatively, all patients had poor scores (<50). Postoperatively, 17 (81%) of the ankles attained excellent scores (85-100) and 4 (19%) attained good scores (70-84).
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The Foot & Ankle Journal
The Foot & Ankle Journal (formerly PIJ) is now the first open access, podiatry peer review journal written by podiatrists and foot/ankle orthopaedists. Many articles published on this site come from a variety of sources including private practice, residency programs and hospital institutions.We are actively looking for articles and primarily case presentations relevant to podiatry and foot orthopaedics for open-access publishing. The journal is now accepting new articles for 2008. We will also select a variety of the 50 articles submitted in last year’s pilot journal for re-publication this year in The Foot & Ankle Journal. The Journal allows for rapid access information of case study articles relevant to the field of podiatry and orthopaedics without a subscription fee or log-in. The journal is peer-review to establish the first open acess journal in Podiatry. The journal will accept articles and publish them online, usually within 1 to 2 weeks of submission. The concept of open access availability of information is a unique switch from online, subscription based articles.
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