The Experts below are selected from a list of 306 Experts worldwide ranked by ideXlab platform
H Ahmed - One of the best experts on this subject based on the ideXlab platform.
-
The two-pin arthrodesis technique for proximal interphalangeal joint fusion of the lesser Toes
European Journal of Orthopaedic Surgery & Traumatology, 2010Co-Authors: V Naidu, I. Gill, P. Lakkireddi, H AhmedAbstract:Arthrodesis of the proximal interphalangeal (PIP) joints of the lesser Toes is a commonly performed procedure for correction of the claw Toe and Hammer Toe deformity. Multiple techniques of fixation have been described to achieve a solid fusion with variable fusion rates (Coughlin and Polk in Operative repair of the fixed HammerToe deformity. Foot Ankle Int 21(2):94–104, 2000 ). The standard technique for many years uses a single intramedullary K-wire (Baig and Geary in Fusion rate and patient satisfaction in proximal interphalangeal joint fusion of the minor Toes using Kirschner wire fixation. The Foot 6:120–121, 1996 ). We present our technique of fusing the PIP joint with two fine K-wires, used to prevent rotational displacement and ensure sound arthrodesis. Our series of 36 fusions in 25 patients were assessed independently using the American College of foot and ankle surgeons score (ACFAS) and the Foot Function Scale (FFS). A fusion rate of 97% was achieved with 89% of patients were satisfied with the appearance of their Toes. There was a significant reduction in pain levels with 90% of patients reporting no pain with normal activities. We believe our simple improvement to the single wire technique results in superior outcomes.
M.f. Gargan - One of the best experts on this subject based on the ideXlab platform.
-
Curly Toe, Hammer Toe, claw Toe and mallet Toe: are they good descriptive terms of the associated deformities of the lesser Toes?
European Journal of Orthopaedic Surgery & Traumatology, 2005Co-Authors: M J Barakat, R Buckingham, M.f. GarganAbstract:L’orteil enroulé, l’orteil en marteau, l’orteil en griffe et l’orteil en maillet sont toutes les dénominations qui décrivent des défauts de forme spécifiques des petits orteils. Plusieurs définitions ont été employées pour décrire chacun des défauts de forme (Boc and Martone in J Food Ankle Surg 34(2):220–222, 1995; Bignel in Lancet 342(8865):235, 1993; Mizel and Yodlowski in J Am Acad Orthop Surg 3(3):166–173, 1995; Coughlin in Instr Course Lect in Instr Course Lect 52:421–444, 2003; Coughlin in Foot Ankle Int 16(3):109–116, 1995). Nous visons à quantifier les variations de ces dénominations et à déterminer si les défauts de forme seraient mieux décrits en utilisant les noms de leur position. Des questionnaires ont été distribués de la main à la main à 24 consultants et à 33 séniors dans 5 grands hôpitaux universitaires. Les participants ont été invités à tracer un diagramme schématique de chacun des défauts de forme. 90% des consultants et 85 % des séniors ont renvoyé les questionnaires. Il y avait une variation de 17% (Kappa=0.66) des réponses des consultants pour l’orteil enroulé par rapport à une variation de 30% des réponses des séniors (Kappa = 0.4). Il y avait également une variation de 12% (Kappa=0.76) des réponses des consultants pour l’orteil en marteau par rapport à une variation de réponse des séniors de 24% (Kappa=0.52). Il y avait une variation de 8% (Kappa=0.84) des réponses des consultants pour l’orteil en griffe, avec une variation de réponse des séniors de 18% (Kappa=0.64). Quant à l’orteil en maillet, il n’y avait aucune variation des réponses des consultants (Kappa=1), mais il y avait une variation de réponse des séniors de 8% (Kappa=0.82). Il y avait variation marquée de la description de ces dénominations parmi les consultants et plus encore parmi les séniors où plusieurs points de kappa où au-dessous du niveau acceptable de la variation de 0.8 (Carletta in Comput linguistics 22(2):1–6, 1996). Nous préconisons donc l’utilisation de la terminologie objective orthopédique de décrire les défauts de forme des petits orteils. Curly Toe, Hammer Toe, claw Toe and mallet Toe are all terms that describe specific deformities of the lesser Toes (Boc and Martone in J Food Ankle Surg 34(2):220–222, 1995; Bignel in Lancet 342(8865):235, 1993; Mizel and Yodlowski in J Am Acad Orthop Surg 3(3):166–173, 1995; Coughlin in Instr Course Lect in Instr Course Lect 52:421–444, 2003; Coughlin in Foot Ankle Int 16(3):109–116, 1995). Several definitions have been used to describe each one of the deformities. We aim to quantify any variation of understanding of these terms and determine whether the deformities would be better described in terms of their position. Questionnaires were circulated by hand among 24 orthopaedic consultants and 33 registrars in 5 major teaching hospitals. The participants were asked to draw a schematic diagram of each of the deformities. There was a 90% consultant and 85% registrar return of forms. There was a 17% variation (Kappa=0.66) in consultant replies to curly Toe as compared to a 30% variation in registrar replies (Kappa=0.4). There was also a 12% variation (Kappa=0.76) in consultant replies to Hammer Toe as compared to a registrar reply variation of 24% (Kappa=0.52). There was an 8% variation (Kappa=0.84) in consultant replies to claw Toe, with a registrar variation of 18% (Kappa=0.64). With regards to mallet Toe, there was no consultant variation (Kappa=1), but there was a registrar variation of 8% (Kappa=0.82). There was marked variation in the description of these terms among consultants and more so among registrars where several kappa scores where below the acceptable level of variation of 0.8 (Carletta in Comput linguistics 22(2):1–6, 1996). We therefore advocate the use of orthopaedic objective terminology to describe these deformities of the lesser Toes.
-
curly Toe Hammer Toe claw Toe and mallet Toe are they good descriptive terms of the associated deformities of the lesser Toes
European Journal of Orthopaedic Surgery and Traumatology, 2005Co-Authors: M J Barakat, R Buckingham, M.f. GarganAbstract:Curly Toe, Hammer Toe, claw Toe and mallet Toe are all terms that describe specific deformities of the lesser Toes (Boc and Martone in J Food Ankle Surg 34(2):220–222, 1995; Bignel in Lancet 342(8865):235, 1993; Mizel and Yodlowski in J Am Acad Orthop Surg 3(3):166–173, 1995; Coughlin in Instr Course Lect in Instr Course Lect 52:421–444, 2003; Coughlin in Foot Ankle Int 16(3):109–116, 1995). Several definitions have been used to describe each one of the deformities. We aim to quantify any variation of understanding of these terms and determine whether the deformities would be better described in terms of their position. Questionnaires were circulated by hand among 24 orthopaedic consultants and 33 registrars in 5 major teaching hospitals. The participants were asked to draw a schematic diagram of each of the deformities. There was a 90% consultant and 85% registrar return of forms. There was a 17% variation (Kappa=0.66) in consultant replies to curly Toe as compared to a 30% variation in registrar replies (Kappa=0.4). There was also a 12% variation (Kappa=0.76) in consultant replies to Hammer Toe as compared to a registrar reply variation of 24% (Kappa=0.52). There was an 8% variation (Kappa=0.84) in consultant replies to claw Toe, with a registrar variation of 18% (Kappa=0.64). With regards to mallet Toe, there was no consultant variation (Kappa=1), but there was a registrar variation of 8% (Kappa=0.82). There was marked variation in the description of these terms among consultants and more so among registrars where several kappa scores where below the acceptable level of variation of 0.8 (Carletta in Comput linguistics 22(2):1–6, 1996). We therefore advocate the use of orthopaedic objective terminology to describe these deformities of the lesser Toes.
V Naidu - One of the best experts on this subject based on the ideXlab platform.
-
The two-pin arthrodesis technique for proximal interphalangeal joint fusion of the lesser Toes
European Journal of Orthopaedic Surgery & Traumatology, 2010Co-Authors: V Naidu, I. Gill, P. Lakkireddi, H AhmedAbstract:Arthrodesis of the proximal interphalangeal (PIP) joints of the lesser Toes is a commonly performed procedure for correction of the claw Toe and Hammer Toe deformity. Multiple techniques of fixation have been described to achieve a solid fusion with variable fusion rates (Coughlin and Polk in Operative repair of the fixed HammerToe deformity. Foot Ankle Int 21(2):94–104, 2000 ). The standard technique for many years uses a single intramedullary K-wire (Baig and Geary in Fusion rate and patient satisfaction in proximal interphalangeal joint fusion of the minor Toes using Kirschner wire fixation. The Foot 6:120–121, 1996 ). We present our technique of fusing the PIP joint with two fine K-wires, used to prevent rotational displacement and ensure sound arthrodesis. Our series of 36 fusions in 25 patients were assessed independently using the American College of foot and ankle surgeons score (ACFAS) and the Foot Function Scale (FFS). A fusion rate of 97% was achieved with 89% of patients were satisfied with the appearance of their Toes. There was a significant reduction in pain levels with 90% of patients reporting no pain with normal activities. We believe our simple improvement to the single wire technique results in superior outcomes.
Rudiger Krauspe - One of the best experts on this subject based on the ideXlab platform.
-
the ruiz mora procedure a surgical treatment of the cock up deformity of the fifth Toe
Foot and Ankle Surgery, 1998Co-Authors: J L Visposeara, V Ettl, Rudiger KrauspeAbstract:A fixed rotational deformity of the fifth Toe combined with subluxation/dislocation of the fifth metatarsophalangeal joint is also known as the cock-up deformity. If the Toe cannot be accommodated by wide or extra-depth shoes surgery may be indicated. Surgical treatment requires adequate bony decompression. Complete excision of the proximal phalanx combined with tightened plantar skin closure after elliptical plantar skin excision, the Ruiz-Mora procedure, provides good relief of symptoms. We reviewed 18 patients with 22 procedures, operated on between 1986 and 1996. Two patients with two procedures had post-traumatic foot deformities and because of the different underlying aetiology and pathology of their deformity were excluded from the study. There were 10 women and eight men, and four patients had bilateral operations. The average age at surgery was 38 years. Follow-up examination was possible for 17 cases. These patients were followed for an average of 6.6 years. After surgery there was no recurrence of deformity. Subjectively, all of the examined patients had complete relief of pain. Three recurrences of a simultaneously surgically treated Hammer Toe deformity of the fourth Toe with a corn on the dorsal aspect of this Toe were observed. In two cases a floppy fifth Toe, and in another two cases some problems with excessive shortening, were noted. The use of a partial syndactylization between the fourth and fifth Toe or a skin incision placed near to interdigital space should be considered to avoid the excessive shortening and the development of a floppy fifth Toe.
-
the ruiz mora procedure a surgical the cock up deformity of the fifth Toe treatment of
1998Co-Authors: Rudiger KrauspeAbstract:Summary A fixed rotational deformity of the fifth Toe combined with subluxation/dislocation of the fifth metatarsophalangeal joint is also known as the cock-up deformity. If the Toe cannot be accommodated by wide or extra-depth shoes surgery may be indicated. Surgical treatment requires adequate bony decompression. Complete excision of the proximal phalanx combined with tightened plantar skin closure after elliptical plantar skin excision, the Ruiz-Mora procedure, provides good relief of symptoms. We reviewed 18 patients with 22 procedures, operated on between 1986 and 1996. Two patients with two procedures had post-traumatic foot deformities and because of the different underlying aetiology and pathology of their deformity were excluded from the study. There were 10 women and eight men, and four patients had bilateral operations. The average age at surgery was 38 years. Follow-up examination was possible for 17 cases. These patients were followed for an average of 6.6 years. After surgery there was no recurrence of deformity. Subjectively, all of the examined patients had complete relief of pain. Three recurrences of a simultaneously surgically treated Hammer Toe deformity of the fourth Toe with a corn on the dorsal aspect of this Toe were observed. In two cases a floppy fifth Toe, and in another two cases some problems with excessive shortening, were noted. The use of a partial syndactylization between the fourth and fifth Toe or a skin incision placed near to interdigital space should be considered to avoid the excessive shortening and the development of a floppy fifth Toe.
M J Barakat - One of the best experts on this subject based on the ideXlab platform.
-
Curly Toe, Hammer Toe, claw Toe and mallet Toe: are they good descriptive terms of the associated deformities of the lesser Toes?
European Journal of Orthopaedic Surgery & Traumatology, 2005Co-Authors: M J Barakat, R Buckingham, M.f. GarganAbstract:L’orteil enroulé, l’orteil en marteau, l’orteil en griffe et l’orteil en maillet sont toutes les dénominations qui décrivent des défauts de forme spécifiques des petits orteils. Plusieurs définitions ont été employées pour décrire chacun des défauts de forme (Boc and Martone in J Food Ankle Surg 34(2):220–222, 1995; Bignel in Lancet 342(8865):235, 1993; Mizel and Yodlowski in J Am Acad Orthop Surg 3(3):166–173, 1995; Coughlin in Instr Course Lect in Instr Course Lect 52:421–444, 2003; Coughlin in Foot Ankle Int 16(3):109–116, 1995). Nous visons à quantifier les variations de ces dénominations et à déterminer si les défauts de forme seraient mieux décrits en utilisant les noms de leur position. Des questionnaires ont été distribués de la main à la main à 24 consultants et à 33 séniors dans 5 grands hôpitaux universitaires. Les participants ont été invités à tracer un diagramme schématique de chacun des défauts de forme. 90% des consultants et 85 % des séniors ont renvoyé les questionnaires. Il y avait une variation de 17% (Kappa=0.66) des réponses des consultants pour l’orteil enroulé par rapport à une variation de 30% des réponses des séniors (Kappa = 0.4). Il y avait également une variation de 12% (Kappa=0.76) des réponses des consultants pour l’orteil en marteau par rapport à une variation de réponse des séniors de 24% (Kappa=0.52). Il y avait une variation de 8% (Kappa=0.84) des réponses des consultants pour l’orteil en griffe, avec une variation de réponse des séniors de 18% (Kappa=0.64). Quant à l’orteil en maillet, il n’y avait aucune variation des réponses des consultants (Kappa=1), mais il y avait une variation de réponse des séniors de 8% (Kappa=0.82). Il y avait variation marquée de la description de ces dénominations parmi les consultants et plus encore parmi les séniors où plusieurs points de kappa où au-dessous du niveau acceptable de la variation de 0.8 (Carletta in Comput linguistics 22(2):1–6, 1996). Nous préconisons donc l’utilisation de la terminologie objective orthopédique de décrire les défauts de forme des petits orteils. Curly Toe, Hammer Toe, claw Toe and mallet Toe are all terms that describe specific deformities of the lesser Toes (Boc and Martone in J Food Ankle Surg 34(2):220–222, 1995; Bignel in Lancet 342(8865):235, 1993; Mizel and Yodlowski in J Am Acad Orthop Surg 3(3):166–173, 1995; Coughlin in Instr Course Lect in Instr Course Lect 52:421–444, 2003; Coughlin in Foot Ankle Int 16(3):109–116, 1995). Several definitions have been used to describe each one of the deformities. We aim to quantify any variation of understanding of these terms and determine whether the deformities would be better described in terms of their position. Questionnaires were circulated by hand among 24 orthopaedic consultants and 33 registrars in 5 major teaching hospitals. The participants were asked to draw a schematic diagram of each of the deformities. There was a 90% consultant and 85% registrar return of forms. There was a 17% variation (Kappa=0.66) in consultant replies to curly Toe as compared to a 30% variation in registrar replies (Kappa=0.4). There was also a 12% variation (Kappa=0.76) in consultant replies to Hammer Toe as compared to a registrar reply variation of 24% (Kappa=0.52). There was an 8% variation (Kappa=0.84) in consultant replies to claw Toe, with a registrar variation of 18% (Kappa=0.64). With regards to mallet Toe, there was no consultant variation (Kappa=1), but there was a registrar variation of 8% (Kappa=0.82). There was marked variation in the description of these terms among consultants and more so among registrars where several kappa scores where below the acceptable level of variation of 0.8 (Carletta in Comput linguistics 22(2):1–6, 1996). We therefore advocate the use of orthopaedic objective terminology to describe these deformities of the lesser Toes.
-
curly Toe Hammer Toe claw Toe and mallet Toe are they good descriptive terms of the associated deformities of the lesser Toes
European Journal of Orthopaedic Surgery and Traumatology, 2005Co-Authors: M J Barakat, R Buckingham, M.f. GarganAbstract:Curly Toe, Hammer Toe, claw Toe and mallet Toe are all terms that describe specific deformities of the lesser Toes (Boc and Martone in J Food Ankle Surg 34(2):220–222, 1995; Bignel in Lancet 342(8865):235, 1993; Mizel and Yodlowski in J Am Acad Orthop Surg 3(3):166–173, 1995; Coughlin in Instr Course Lect in Instr Course Lect 52:421–444, 2003; Coughlin in Foot Ankle Int 16(3):109–116, 1995). Several definitions have been used to describe each one of the deformities. We aim to quantify any variation of understanding of these terms and determine whether the deformities would be better described in terms of their position. Questionnaires were circulated by hand among 24 orthopaedic consultants and 33 registrars in 5 major teaching hospitals. The participants were asked to draw a schematic diagram of each of the deformities. There was a 90% consultant and 85% registrar return of forms. There was a 17% variation (Kappa=0.66) in consultant replies to curly Toe as compared to a 30% variation in registrar replies (Kappa=0.4). There was also a 12% variation (Kappa=0.76) in consultant replies to Hammer Toe as compared to a registrar reply variation of 24% (Kappa=0.52). There was an 8% variation (Kappa=0.84) in consultant replies to claw Toe, with a registrar variation of 18% (Kappa=0.64). With regards to mallet Toe, there was no consultant variation (Kappa=1), but there was a registrar variation of 8% (Kappa=0.82). There was marked variation in the description of these terms among consultants and more so among registrars where several kappa scores where below the acceptable level of variation of 0.8 (Carletta in Comput linguistics 22(2):1–6, 1996). We therefore advocate the use of orthopaedic objective terminology to describe these deformities of the lesser Toes.
