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  1. Article ; Online: Is It Possible to Overcompress the Syndesmosis?

    Mahapatra, Piyush / Rudge, Ben / Whittingham-Jones, Paul

    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

    2018  Volume 57, Issue 5, Page(s) 1005–1009

    Abstract: The case we present suggests that it might be possible to overcompress the syndesmosis, causing subluxation of the talus within the ankle mortise. A 26-year-old female patient had had a Weber Type C ankle fracture internally fixed with a lateral plate ... ...

    Abstract The case we present suggests that it might be possible to overcompress the syndesmosis, causing subluxation of the talus within the ankle mortise. A 26-year-old female patient had had a Weber Type C ankle fracture internally fixed with a lateral plate and syndesmosis screws. Despite the fibula appearing well reduced and computed tomography imaging showing a well-aligned fibula within the fibular notch, anteromedial subluxation of the talus was present in the ankle mortise. Examination with the patient under anesthesia revealed a stable syndesmosis fixation; however, talar malpositioning was not affected by the foot position. The syndesmosis fixation was revised sequentially. As the fixation was relaxed sequentially, the talus appeared to reduce within the ankle mortise, with restoration of the previously obliterated medial clear space. The syndesmosis was stabilized with a single 3.5-mm cortical screw in a reduced position. The patient had made a full recovery at the 12-month follow-up examination, having undergone elective syndesmosis screw removal at 12 weeks postoperatively. Several studies have suggested that it might not be possible to overcompress the syndesmosis and have even advocated the use of a lag screw technique for syndesmosis fixation. Based on the present case, we would advise a degree of caution with this approach, because it might be possible to overcompress the syndesmosis and cause significant subluxation of the tibiotalar articulation.
    MeSH term(s) Adult ; Ankle Fractures/surgery ; Bone Plates ; Bone Screws ; Female ; Fibula/surgery ; Fracture Fixation, Internal/adverse effects ; Humans ; Joint Dislocations/etiology ; Radiography ; Talus/diagnostic imaging
    Language English
    Publishing date 2018-03-13
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1146972-9
    ISSN 1542-2224 ; 1067-2516
    ISSN (online) 1542-2224
    ISSN 1067-2516
    DOI 10.1053/j.jfas.2017.11.037
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    Zs.A 1468: Show issues Location:
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  2. Article ; Online: Minimally invasive distal metaphyseal metatarsal osteotomy (DMMO) for symptomatic forefoot pathology - Short to medium term outcomes from a retrospective case series.

    Malhotra, Karan / Joji, Nikita / Mordecai, Simon / Rudge, Ben

    Foot (Edinburgh, Scotland)

    2018  Volume 38, Page(s) 43–49

    Abstract: Background: Minimally invasive distal metaphyseal metatarsal osteotomy (DMMO) may be used to treat metatarsalgia and forefoot pathology. Few large series report its results or examine the degree of metatarsal shortening with this technique. The clinical ...

    Abstract Background: Minimally invasive distal metaphyseal metatarsal osteotomy (DMMO) may be used to treat metatarsalgia and forefoot pathology. Few large series report its results or examine the degree of metatarsal shortening with this technique. The clinical and radiographic results of a cohort of patients treated with DMMOs at our unit are reported.
    Methods: This was a single-centre retrospective study looking at the outcome of consecutive patients undergoing DMMOs. Demographics, radiological and clinical outcomes, complications and patient reported outcome measures (PROMs) were analysed.
    Results: DMMOs on 106 toes in 43 feet were included. Mean age was 60.2±10.2 years and median follow-up was 38 months. Concurrent procedures were performed in 26 cases (60%). DMMO was performed on multiple toes in 42 cases (97%). Mean shortening achieved was 3.6±2.2mm, 4.1±1.6mm, and 3.6±1.6mm for the second, third and fourth metatarsals respectively. Mean time to fusion was 11.4±7.8 weeks and union occurred in 105 toes (99%). The single non-union was asymptomatic at 12 months. Two patients required a subsequent additional DMMO for transfer metatarsalgia. Minor complications were seen in 11 patients (26%). At final follow-up PROMs data was available for 42 cases: mean MOxFQ was 28.8±27.6, mean EQ-5D was 0.789±0.225, mean EQ-VAS was 68.5±20.3, mean VAS-Pain score was 3.1±2.8, and patients were satisfied overall in 40 cases (95%).
    Conclusions: The authors demonstrate excellent radiological and clinical outcomes in the short to medium term with DMMOs and present data on metatarsal shortening achieved with this technique.
    MeSH term(s) Female ; Humans ; Male ; Metatarsal Bones/surgery ; Metatarsalgia/surgery ; Middle Aged ; Minimally Invasive Surgical Procedures/methods ; Osteotomy/methods ; Pain Measurement ; Patient Reported Outcome Measures ; Retrospective Studies
    Language English
    Publishing date 2018-12-21
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 1070358-5
    ISSN 1532-2963 ; 0958-2592
    ISSN (online) 1532-2963
    ISSN 0958-2592
    DOI 10.1016/j.foot.2018.12.003
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    Zs.A 3196: Show issues Location:
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  3. Article ; Online: A rare Lisfranc-type injury involving dorsal dislocation of the intermediate cuneiform.

    Kalraiya, Ashish Jain / Vanhegan, Ivor / Cheung, Alan / Rudge, Ben

    BMJ case reports

    2014  Volume 2014

    Abstract: Lisfranc injuries occur at the tarsometatarsal joint resulting from direct or indirect force to the midfoot. They account for only 0.2% of all fractures, with diagnoses easily missed on presentation. The resultant instability is often associated with ... ...

    Abstract Lisfranc injuries occur at the tarsometatarsal joint resulting from direct or indirect force to the midfoot. They account for only 0.2% of all fractures, with diagnoses easily missed on presentation. The resultant instability is often associated with significant morbidity to the patient. This report describes a Lisfranc injury sustained by a healthy gentleman who suffered indirect trauma to the foot when he fell from a standing height. Plain film radiographs and CT revealed dorsal dislocation of the intermediate cuneiform associated with fractures at the base of the third and fourth metatarsals. He underwent open reduction and internal fixation the following day. His Foot and Ankle Disability Index (FADI) score improved from 16.3 1 week postoperatively to 58.7 6 months postoperatively. This report describes a rare injury pattern resulting from indirect, low-energy trauma. We provide a guide to appropriate radiological imaging and evaluation in the assessment of these complex injuries.
    MeSH term(s) Ankle Fractures/complications ; Ankle Fractures/diagnostic imaging ; Ankle Fractures/surgery ; Bone Nails ; Fracture Fixation, Internal/methods ; Humans ; Imaging, Three-Dimensional ; Joint Dislocations/diagnostic imaging ; Joint Dislocations/etiology ; Joint Dislocations/surgery ; Male ; Metatarsal Bones/injuries ; Middle Aged ; Tarsal Bones/injuries ; Tomography, X-Ray Computed
    Language English
    Publishing date 2014-07-29
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2013-203364
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Traumatic Dystonia: An Important Orthopaedic Differential Diagnosis.

    Schaller, Gavin / Tai, Steven / Valavanis, Athinodoros / Korlipara, Prasad / Rudge, Ben

    Foot & ankle international

    2014  Volume 35, Issue 6, Page(s) 623–625

    Language English
    Publishing date 2014-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1183283-6
    ISSN 1944-7876 ; 1071-1007
    ISSN (online) 1944-7876
    ISSN 1071-1007
    DOI 10.1177/1071100714528496
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  5. Article ; Online: A useful technique for the control of bleeding following peripheral vascular injury.

    Rudge, Will B J / Rudge, Ben C J / Rudge, Chris J

    Annals of the Royal College of Surgeons of England

    2010  Volume 92, Issue 1, Page(s) 77–78

    MeSH term(s) Arteries/injuries ; Bandages ; Hemorrhage/prevention & control ; Humans ; Pressure
    Language English
    Publishing date 2010-01-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 80044-2
    ISSN 1478-7083 ; 0035-8843
    ISSN (online) 1478-7083
    ISSN 0035-8843
    DOI 10.1308/rcsann.2010.92.1.77
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  6. Article: Bleeding after punch biopsy.

    Rudge, Ben / Jallali, Navid / Pacifico, Marc / Kang, Norbert

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2007  Volume 60, Issue 9, Page(s) 1078–1079

    MeSH term(s) Aged, 80 and over ; Biopsy/adverse effects ; Female ; Humans ; Postoperative Hemorrhage/etiology ; Skin Ulcer/pathology
    Language English
    Publishing date 2007
    Publishing country Netherlands
    Document type Case Reports ; Letter
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2005.12.039
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