The Foot
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Calcaneal osteomyelitis is a surgical diagnosis that may be treated by local, resection or major amputation. ⋯ Calcanectomy is a useful procedure for limb salvage. It may reduce morbidity rates for people with calcaneal osteomyelitis, those with diabetes can expect prolonged wound healing and longer length of stay.
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The late complications following a displaced intra-articular calcaneal fractures includes painful arthrosis for which a subtalar fusion might be considered. In case of malalignment due to loss of height and varus deformity a reconstructive arthrodesis is necessary. The primary aim of the current review study was to assess the functional outcome of the subtalar distraction bone block arthrodesis in the management of late complications of displaced intra-articular calcaneal fractures. ⋯ The subtalar distraction bone block arthrodesis is a technically demanding procedure which, in the right hands, provides an overall good result. This is reflected in a significant increase in outcome scores post-operatively. Although most complications are considered minor, there are several pitfalls which should be recognized and avoided.
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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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There is minimal published research on outcomes and satisfaction with foot and ankle surgery. ⋯ Foot appearance, wearable shoe range, the (full) alleviation of pain and the ability/confidence to interact socially are crucial to peoples' satisfaction with their foot or ankle surgery.
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Ankle dislocation without concomitant fracture is a rare phenomenon with only a few cases reported in literature. Our case report presents a male who sustained a closed anterolateral ankle dislocation without fractures following a road traffic accident. The patho-anatomy, principles of management and probable complications of this injury have been discussed.