Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Purpose:To compare the clinical results between the extensile lateral approach and sinus tarsi approach in the open reduction of the Sanders type II calcaneal fracture. Materials and Methods: From July 2002 to Februry 2007, thirty two patients having thirty three calcaneal fractures of Sanders type II were managed with open reduction and internal fixation using the extensile lateral approach or sinus tarsi approach. The mean age of 19 patients using extensile lateral approach was 43.3 years. The mean age of 13 patients using sinus tarsi approach was 46.3 years. Clinical outcome, radiographic parameters, and postoperative complications were compared between both groups. Results: There was no difference between two groups associated with patients demographs. The mean AOFAS score and VAS between both groups were not different (p=0.716, p=0.774). The mean Bohler's angle and Gissane's angle between both groups were not different (p=0.343, p=0.357). Two cases of sural nerve injury, one malunion, and one deep infection were occurred in the group of extensile lateral approach. However, patients using sinus tarsi approach had no postoperative complications. Conclusion:The clinical results of sinus tarsi approach may be comparable with those of extensile lateral approach, with the advantages of reduced risk of postoperative complications.

Hallux valgus correction using transarticular lateral release, distal chevron metatarsal osteotomy and Akin phalangeal osteotomy through one medial incision was found to be effective and safe. The advantages include that the procedure is simple, early ambulation is possible, and there is no dorsal scarring.

BackgroundThe results of operative treatments for symptomatic accessory navicular are debatable. In some cases, recurrent pain may develop after the Kidner procedure. The purpose of this study is to review the reasons for recurrent pain after the Kidner procedure and to suggest possible options for revision surgery.MethodsWe reviewed the clinical and radiological outcomes in 9 patients who underwent revision surgery for recurrent pain after the Kidner procedure. During the revision surgery, the tibialis posterior tendon was reattached to the navicular either by advancing the tendon in 4 patients or by lengthening the tendon in another 4 patients. In the other 1 patient, the flexor digitorum longus tendon was transferred. Surgeries for the accompanying deformities were performed simultaneously in all patients. The results were evaluated using the American Orthopaedic Foot and Ankle Society ankle-hindfoot score and a visual analog scale. The mean follow-up was 2.3 years (range, 1 to 5 years).ResultsThe mean American Orthopedic Foot and Ankle Society ankle-hindfoot score improved from 71.25 to 81.50 in the advancement group, and 71.75 to 90.00 in the lengthening group. The mean visual analog scale improved from 7.75 to 4.25 in the advancement group and from 7.50 to 1.75 in the lengthening group.ConclusionsRecurrent pain after the Kidner procedure was associated with pes planovalgus or hindfoot valgus deformity. In revision surgery, correction of the associated deformities and reattachment of the tibialis posterior tendon after lengthening may need to be considered.

Level IV, retrospective case series.

No abstract

We present one-stage treatment of deep infection following repair of Achilles tendon rupture using flexor hallucis longus transfer. Flexor hallucis longus was used not only to connect the defect in Achillles tendon, but also to control the soft tissue infection with its abundant blood supply, simultaneously. The clinical results for the two patients in this report were excellent without major complication.

Arsenite sorption from aqueous solutions was investigated using two-line ferrihydrite at room temperature, as a function of solution pH and arsenite loading. The isotherms, pH envelopes, and kinetics of arsenite sorption were characterized and its mechanism was elucidated via X-ray absorption spectroscopic studies. Arsenite sorption showed only slight pH dependence with a sorption maximum centered around pH 8.0. The Langmuir isotherm is most appropriate for arsenite sorption over the wide range of pH, indicating the homogenous and monolayer sorption of arsenite. The kinetic study demonstrated that arsenite sorption onto two-line ferrihydrite is considerably fast and the equilibrium is achieved within the reaction time of 3 h. X-ray absorption near-edge structure spectroscopy elucidated a slight change in oxidation state of arsenite for the initial concentration of 13.35 mM at pH 4. The extended X-ray absorption fine structure (EXAFS) spectroscopy results indicate that types of surface complexes of arsenite appeared to be very similar to those proposed by the previous studies in that the bidentate binuclear corner-sharing (2C) complex is predominant at all the surface loadings. However, our EXAFS results suggest that regardless ofpH, the mixed complexes of2C and bidentate mononuclear edge-sharing surface complex (2E) as well as the 2C complex are favoured at low and intermediate surface loadings, but only the 2C complex is dominant at high surface loading. Overall, the EXAFS results support the efficient removal of arsenite by the two-line ferrihydrite through the formation of highly stable inner-sphere surface complexes, such as 2C complex.