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A hook plate is commonly used to treat distal clavicle fractures or acromioclavicular joint dislocations with good clinical results. On the other hand, several complications related to the structural characteristics of the plate or the surgical procedure can occur. Several studies have reported problems with the distal part of the hook plate, such as acromion fracture or rotator cuff tear. Proximal problems, such as clavicle shaft fractures, are increasing owing to the increase in the elderly population with osteoporosis. In these two cases, after surgery using a hook plate, clavicle shaft fractures occurred proximal to the plate. Bone union and good clinical results were obtained through conservative treatment. This paper reports two cases of periprosthetic clavicle shaft fractures after surgery for type V distal clavicle fractures using a hook plate with a review of the relevant literatures. [ABSTRACT FROM AUTHOR]

Surgical treatments for arthritis in the first metatarsophalangeal joint include arthrodesis, interposition arthroplasty using silicone or meniscus cartilage, and rarely arthroplasty. Although arthrodesis was performed successfully, pain can persist if the angle of fusion was inappropriate. Interposition arthroplasty can be tried for the treatment of persisting pain after the arthrodesis. Interposition arthroplasty using tensor fascia lata is known that has low risk of adhesions and easy to harvest. Compared to autologous grafts, grafting rates is high and low risk of rejection additionally. Herein, we report a successfully managed arthritis with severe pain with interposition arthroplasty using tensor fascia lata after a failed metatarsophalangeal joint arthrodesis. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the radiological and clinical effects of early weightbearing after distal reverse oblique osteotomy of bunionette. Materials and Methods: Between 2009 and 2015, 52 patients who underwent surgical treatment at our hospital for bunionette deformity with a minimum follow up of one year were included in the study. Postoperatively, foot cast was applied and full weightbearing was permitted in 28 patients. And short leg splint was applied with only partial weightbearing using crutches allowed in 24 patients. Clinical scores were evaluated. Radiologically, the 4th-5th intermetatarsal angle (IMA), and 5th metatarsophalangeal angle (MPA) were analyzed preoperatively and at the final follow up visit. Results: The visual analogue scale and American Orthopaedic Foot and Ankle Society scores improved in the partial weightbearing group and full weightbearing group, but without significant differences. The average 4th-5th IMA and average 5th MPA correction also did not showed significant differences between the partial weightbearing group and full weightbearing group. Moreover, the full weightbearing group did not encourage non-union rate compared with the partial weightbearing group. Conclusion: Effective bone union may be achieved through early weightbearing, resulting in better clinical outcomes. It is considered that early weightbearing did not have any effect on the changes of IMA and bone union. [ABSTRACT FROM AUTHOR]

An indirect reduction through the bicipital groove and allogenic iliac tricortical bone graft was performed as a treatment for a large Hill– Sachs lesion with a rotator cuff tear in an acute traumatic shoulder joint dislocation in an elderly patient. Six months after surgery, the rotator cuff healing and bone union were confirmed. The patient also showed satisfactory clinical results with 95 points of the American Shoulder and Elbow Surgeons (ASES) shoulder score and active range of motion with 155° flexion, 120° abduction, and 70° external rotation and 30º internal rotation at 90º abduction. The surgical method can be considered for a large Hill–Sachs lesion with rotator cuff tear in an acute traumatic shoulder joint dislocation in elderly patients. [ABSTRACT FROM AUTHOR]