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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Published on: January 24, 2018

[METATARSUS ADDUCTUS - A COMMON DEFORMITY - WHAT TO DO AND WHEN?]

Elad Apt¹, Jonathan Daniel Freedman², Mark Eidelman³

¹Orthopedic Surgery Division, Rambam Health Care Campus, Haifa, Israel.

|April 15, 2024

Summary

Forefoot adduction deformity (FAD) in newborns is common and diagnosed via physical exam. Treatment varies from conservative methods for mild cases to serial casting or surgery for severe FAD.

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Published on: April 11, 2012

Area of Science:

Pediatric Orthopedics
Neonatal Care

Background:

Forefoot adduction deformity (FAD) is the most common newborn foot deformity.
Diagnosis primarily relies on physical examination; imaging offers no clear advantage.
Early intervention is crucial for successful treatment outcomes.

Approach:

This review synthesizes current knowledge on FAD diagnosis, classification, and treatment.
It evaluates conservative, casting, orthotic, and surgical interventions.
An institutional treatment protocol for primary care physicians is presented.

Key Points:

Classification systems assess deformity severity based on deviation and flexibility.
Mild FAD may be managed with observation or stretching.
Severe FAD typically requires serial casting; orthoses offer a comfortable alternative.
Surgery is reserved for refractory cases or older children.

Conclusions:

Accurate diagnosis and timely, severity-appropriate treatment are essential for FAD management.
Innovative orthoses show promise for improved patient comfort and satisfaction.
The provided protocol aims to guide primary care physicians in managing FAD effectively.