Category Archives: Arthritis and Joint Replacement

Arthroscopic Surgery for Knee Arthritis

There has been a persistant interest in managing knee arthritis with arthroscopic surgery.  For some years, there have been attempts to temporize degenerative arthritis of the knee in older patients with an “arthroscopic cleanout”.  Studies are now available that this … Continue reading

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Mid foot Arthritis

The foot can be divided into three anatomic sections: the hindfoot containing the calcaneus and talus and the related joints, the midfoot comprised of the cuboid navicular cuneiforms and proximal metatarsals and their joints and finally the forefoot, the distal metatarsals toes and the … Continue reading

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Filed under Arthritis and Joint Replacement, Foot and Ankle

Ankle Fusion

Ankle fusion is a well-known and historically tested treatment for ankle arthritis.  An ankle fusion involves roughening the surfaces of the talus (the ankle bone) and the distal tibia and then fixing them together with screws or external fixators until the … Continue reading

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Doctor Heal Thyself Part 2

As you know my previous posts, I am about 2 months following a total hip replacement. At this point I’m actually doing quite well and I have little or no pain and walking moderate distances without a cane. I am not yet … Continue reading

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Total Hip Replacement a Personal View

I have been AWOL for about one month, recovering from my own total hip replacement, and I felt the time had come for a personal perspective on hip arthritis and the surgical results. Over the past two to three years, … Continue reading

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Great Toe Arthritis

Arthritis of the great toe, also called hallux rigidus, has been well recognized problem for many years.   He metatarsal phalangeal or knuckle joint of the great toe becomes increasingly stiff painful and a large knot of bone develops at the … Continue reading

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External Fixation II

The use of external fixators for management of fractures, is time honored.  There are other relevant uses which are worth discussing,  including two or three “cutting edge ” techniques. External fixators can be useful in arthritic or infected joints that … Continue reading

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Filed under Arthritis and Joint Replacement, Foot and Ankle, Fractures

Ankle Fusion

Ankle fusion has been a staple of foot and ankle surgery for decades.  A fusion is a procedure which solidly fixes the talus (the ankle bone) to the tibia (the shin bone) and therefore eliminates joint pain in the ankle.  … Continue reading

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Orthopaedic Surgery and Obesity

We have all heard that obesity is epidemic in the United States, due to too much junk food and lack of exercise.  How does this relate to orthpaedic surgery and what  can we do as orthopaedists to help control obesity?  Can … Continue reading

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Filed under Arthritis and Joint Replacement, History of Orthopaedics, Spine

Flat Feet

Flat feet (pes planus) is a common diagnosis, but it is not clear that the diagnosis of flat feet represents a disease that requires treatment.  Many years ago the diagnosis of flat feet was associated with a condition  called rigid … Continue reading

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Filed under Arthritis and Joint Replacement, Foot and Ankle, Pediatric Orthopaedics