Objectives: The aim of this study was to examine the early results of patients with acetabular dysplasia treated with the use of uncemented acetabular components and without complex bony augmentation. Materials and Methods: Eleven patients (13 hips) were included in this study. The median acetabular component size was 44mm (range, 44- 56mm). The mean follow up period was 24 months (range, 15-59 months). All patients were pain free at follow up. Results: The mean Merle d'Aubigné Postel score increased from 3 to 17. Our early results suggest that acetabular reconstruction using a small cementless cup, may be an alternative to previously described methods of total hip arthroplasty in the presence of superolateral bone loss.

BACKGROUNDThe choice for the surgical approach of interdigital neuroma in the foot is controversial. Plantar approach can leave a painful scar on weight bearing area; hence, some prefer dorsal approach. The aim of the current study was to measure the outcome of interdigital (Morton's) neurectomy performed by a single surgeon using dorsal and plantar approaches.

METHODSA retrospective review of the patient records of one orthopaedic foot and ankle surgeon identified thirty-six patients (42 feet) who had been treated operatively for a primary, persistently painful interdigital neuroma. The mean follow-up was 18 months. Pain, weight bearing, wound problems and rehabilitation period were studied.

RESULTSThe duration to full weight bearing, return to work, driving and recreational activities were at least one week shorter in the dorsal group. The overall satisfaction for surgery was rated as excellent or good in 85% of the thirty six patients. Scar problems were more troublesome and common in the plantar group. There was residual numbness noticed in twenty feet, the pattern of numbness was quite variable and it was bothersome in only seven feet. There was one recurrence in the plantar group.

CONCLUSIONSResection of a symptomatic interdigital neuroma through a dorsal or a plantar approach can result in a good outcome. Dorsal approach, however, is associated with better rehabilitation and less scar problems.

Adult ; Aged ; Female ; Foot ; pathology ; physiopathology ; surgery ; Foot Diseases ; pathology ; surgery ; Humans ; Male ; Middle Aged ; Neuroma ; pathology ; surgery ; Retrospective Studies ; Treatment Outcome ; Weight-Bearing