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A 13-month-old female Andalusian was evaluated because of a congenital left deviation of the maxilla and nasal septum, which had resulted in a gross malocclusion of the maxillary incisor teeth. Surgical correction of a deviated nasal septum and premaxilla in a horse was first reported in 1978 and involved a pre-maxilla osteotomy and use of an autogenous rib graft, with a nasal septum osteotomy performed in a second surgery; to the authors' knowledge, no alternative surgical treatments have since been described. In this horse, a new surgical treatment by distraction osteogenesis without nasal septum osteotomy was attempted. After the procedure, the premaxilla and nasal septum deviations were corrected; however, an overjet lesion (rostral projection of maxillary arcade over the mandibular arcade) was evident, for which the owners declined treatment. Compared with previously recommended procedures, distraction osteogenesis appears to be a less invasive treatment for congenital facial deformities and may be considered an option in the treatment of congenital deviation of the nasal septum and premaxilla (wry nose), head scoliosis, brachygnathism, and prognathism in horses.

Principal stresses obtained for the first metatarsal with both implants suggest that failure is induced in this bone because, values exceed (up to 136.84% for Swanson model) the tensile strength reported for phalange trabecular bone, which may be related to osteolysis. Stress and strain values obtained in this work suggest that arthroplasty surgery with Swanson implant is more likely to cause postoperative complications versus Tornier implant.

MEMS is a new technology with the potential to develop small integrated mechanical and electronic systems that share many processes of integrated circuits technology and its wide application potential. Middle ear prostheses are essentially special implantable transducers that mimic the properties of the tympano-ossicular system: electromechanical systems that deliver low energy pulses safely and efficiently into the labyrinth fluids. They primarily require: active mechanisms to preclude potential damage levels; minimum energy consumption; adequate dimensions for the middle ear; and biotolerable materials. Additionally, development and translational aspects of the selected technology are of utmost importance in this field.

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This work focuses on the biomechanical simulation of surgery for total replacement of the first metatarsophalangeal joint (MTPJ) allowed us to identify and analyze several key aspects for finite element simulation of hallux rigidus pathology. Predicting the optimal response of a finite element model (FEM) depends on proper characterization. At this part of the work, those conditions that have a direct or indirect influence on the model that can change its behavior should be considered. For this purpose, we presented in this work a finite element model which include 26 bones: 14 phalanges, 5 metatarsals, 3 cuneiform bones, 1 cuboid, 1 navicular, 1 talus and 1 calcaneus, all of them include articular cartilage. In addition, the model also considers: thin ligaments, long ligaments, muscles and a joint implant. Loads and boundary conditions included: a pretension in the flexor caused by position analysis, a distributed load in the talus in its normal and tangential component, a restriction of movement of some points in the phalanges and calcaneus and the contact conditions between flexor and extensor created from surfaces in the bone volumes. Moreover, the selection of support and constrains regions in the phalanges and calcaneus area must be carefully selected to reproduce the conditions of real support and interaction with adjacent tissues not simulated. These conditions have influence in the structural biomechanical response of each tissue and in contact regions, leading to unexpected behavior if they are wrong selected. In addition, results showed that care must be taken in the mechanical characterization of each tissue, selecting the mechanical properties, pretension, geometry and critical position according to in vitro results or MRIs. Biomechanical aspects reported in this work allow to take into account fundamental details to improve future simulations of this pathology as well as to improve the correlation with experimental results. These biomechanical aspects provide knowledge for finite element simulation of the arthroplasty for the first metatarsophalangeal joint, this allow us to generate a virtual model for arthroplasty of the hallux rigidus to predict, prevent and improve surgical techniques for implantation of prostheses in the first metatarsophalangeal joint.

The neutral implant reduced vertical displacement to a greater extent than did the angled implant. We also highlight the potential risk of iatrogenic curly toe when performing a proximal interphalangeal joint arthrodesis using an angled implant specifically at the fourth toe.

Hallux valgus and hallux rigidus are the most common pathologies in the first ray of the foot. Arthroplasty can restore the mobility of the joint but is a destructive procedure. This paper presents three finite element analysis of the foot studying two different kinds of arthroplasty.