The Experts below are selected from a list of 774 Experts worldwide ranked by ideXlab platform
S P Bendall - One of the best experts on this subject based on the ideXlab platform.
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Bunion surgery can capsular closure influence range of motion
Orthopaedic Proceedings, 2003Co-Authors: D J Redfern, S P BendallAbstract:The incidence of first metatarsophalangeal joint (MTPJ) stiffness following Bunion surgery varies in the literature from 2% to 60%. The causes include pre-existing degenerative joint disease, infection, chronic regional pain syndrome (Type 1), joint incongruence and avascular necrosis. The aim of this study was to establish whether closure of the capsule influences the range of motion in the first MTPJ. We performed a cadaveric study using a ‘Y’ shaped medial capsulotomy as our model. A mid-medial approach was performed on ten cadaveric feet, exposing the medial capsule of the 1st MTPJ. The range of motion of the 1st MTPJ was recorded, and a ‘Y’ shaped capsulotomy performed. The capsule was then closed in neutral, full plantar flexion, and full dorsi flexion and the range of motion recorded. When the capsule was closed with the first MTPJ at the limit of plantar flexion there was a mean loss of 13.7° of dorsi-flexion (range 12°–15°, p Capsular closure can influence first MPTJ motion. Care should therefore be taken during capsular repair. Closure in extremes of extension or flexion, as advocated in some techniques such as the Mitchell osteotomy, should be avoided.
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Bunion surgery can capsular closure influence range of motion
Foot and Ankle Surgery, 2003Co-Authors: D J Redfern, S P BendallAbstract:Abstract The incidence of first metatarsophalangeal joint (MTPJ) stiffness following Bunion surgery varies in the literature. We performed a cadaveric study to investigate whether capsular closure can influence range of first MTPJ motion. A direct medial approach was performed on 10 cadaveric feet. The range of motion of the 1st MTPJ was recorded, and a ‘Y' capsulotomy performed. The capsule was then closed in neutral, full plantar flexion, and full dorsi flexion, and the range of motion recorded. Capsular closure with the first MTPJ in neutral did not affect range of motion, whilst closure at the limit of plantar flexion resulted in a mean loss of 14° of dorsi flexion (range 12–15°, p p In a cadaveric model, capsular closure in extreme flexion/extension reduces range of motion in the first MTP.
Kari Indrekvam - One of the best experts on this subject based on the ideXlab platform.
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spinous process osteotomy to facilitate the access to the spinal canal when decompressing the spinal canal in patients with lumbar spinal stenosis
Asian Spine Journal, 2014Co-Authors: Erland Hermansen, Gunnar Moen, Anne Marie Fenstad, Rune Birketvedt, Kari IndrekvamAbstract:tionnaire. Results: The mean period of follow up was 21.6 months (range, 16−28 months). A total of 44% of the performed osteotomies were considered as united. Ten patients (18%) were classified as “complete-union,” 30 patients (55%) as “partial-union,” and 15 patients (27%) as “non-union.” The “complete-union” group showed better clinical results and scored significantly better in the Oswestry Disability Index and EQ-5D. However, no statistical difference was found in the pain-scores. There were no differences between the “partial-union” group and the “no-union” group. Conclusions: We found a radiologic union for 60 out of 135 (44%) spinous process osteotomies.
Jacob R Zide - One of the best experts on this subject based on the ideXlab platform.
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the adolescent Bunion
Journal of Bone and Joint Surgery American Volume, 2020Co-Authors: Jacob R ZideAbstract:The management of Bunion deformities in adolescent patients is often a source of consternation for orthopaedic surgeons. Reports of recurrence and surgical failure along with a multitude of procedures to choose from create a wariness to manage the problem surgically. The biggest challenge in managing this problem is a lack of understanding by orthopaedic surgeons that adolescent Bunions and adult Bunions frequently arise from two distinct etiologies. The main difference between the two is that unlike adult Bunion deformities, the hallux metatarsophalangeal joint in the adolescent Bunion is congruent as the deformity is caused by a dysplasia of the metatarsal head. This dysplasia results in a valgus orientation of the first metatarsal articular surface (ie, elevated DMAA [distal metatarsal articular angle]). The recognition of this difference has implications for the evaluation and treatment of these deformities in adolescents.
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redefining the juvenile Bunion
Foot & Ankle Orthopaedics, 2019Co-Authors: Caitlin Hardin, Claire Shivers, Anthony I Riccio, Jacob R ZideAbstract:Category:BunionIntroduction/Purpose:The orthopaedic literature is rife with reports of high failure rates following the surgical correction of juvenile Bunion deformities. We contend that the reaso...
D J Redfern - One of the best experts on this subject based on the ideXlab platform.
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Bunion surgery can capsular closure influence range of motion
Orthopaedic Proceedings, 2003Co-Authors: D J Redfern, S P BendallAbstract:The incidence of first metatarsophalangeal joint (MTPJ) stiffness following Bunion surgery varies in the literature from 2% to 60%. The causes include pre-existing degenerative joint disease, infection, chronic regional pain syndrome (Type 1), joint incongruence and avascular necrosis. The aim of this study was to establish whether closure of the capsule influences the range of motion in the first MTPJ. We performed a cadaveric study using a ‘Y’ shaped medial capsulotomy as our model. A mid-medial approach was performed on ten cadaveric feet, exposing the medial capsule of the 1st MTPJ. The range of motion of the 1st MTPJ was recorded, and a ‘Y’ shaped capsulotomy performed. The capsule was then closed in neutral, full plantar flexion, and full dorsi flexion and the range of motion recorded. When the capsule was closed with the first MTPJ at the limit of plantar flexion there was a mean loss of 13.7° of dorsi-flexion (range 12°–15°, p Capsular closure can influence first MPTJ motion. Care should therefore be taken during capsular repair. Closure in extremes of extension or flexion, as advocated in some techniques such as the Mitchell osteotomy, should be avoided.
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Bunion surgery can capsular closure influence range of motion
Foot and Ankle Surgery, 2003Co-Authors: D J Redfern, S P BendallAbstract:Abstract The incidence of first metatarsophalangeal joint (MTPJ) stiffness following Bunion surgery varies in the literature. We performed a cadaveric study to investigate whether capsular closure can influence range of first MTPJ motion. A direct medial approach was performed on 10 cadaveric feet. The range of motion of the 1st MTPJ was recorded, and a ‘Y' capsulotomy performed. The capsule was then closed in neutral, full plantar flexion, and full dorsi flexion, and the range of motion recorded. Capsular closure with the first MTPJ in neutral did not affect range of motion, whilst closure at the limit of plantar flexion resulted in a mean loss of 14° of dorsi flexion (range 12–15°, p p In a cadaveric model, capsular closure in extreme flexion/extension reduces range of motion in the first MTP.
Thibaut Leemrijse - One of the best experts on this subject based on the ideXlab platform.
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the dorsal Bunion an overview
Foot and Ankle Surgery, 2005Co-Authors: Adrien Albert, Thibaut LeemrijseAbstract:The authors reviewed available publications concerning the dorsal Bunion, a vertical deformity of the first ray of the foot. After describing the clinical side and the usual patient complaints, they analyse the lesion's mechanisms, based on the muscular imbalance of the foot and its joints and describe the causes to the dorsal Bunion, especially clubfoot and its surgical correction. The numerous surgical treatments of the dorsal Bunion are detailed by order of publication. Then the authors report a recent case of dorsal Bunion with illustrations before and after surgery.
