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Background: Midfoot osteoarthrosis can impede daily activity and affect lifestyle, due to pain and footwear restrictions. A case is presented of an arthrodesis of the 2nd and 3rd metatarsocuneiform joints (MCJs), undertaken using a locking plate system, to treat painful degenerative changes that had been symptomatic for 6 months., Conclusion: Arthrodesis of the 2nd and 3rd MCJs using a locking plate system achieved adequate fusion and the presenting complaint was resolved. The patient was delighted with the surgical outcome. more...

Background: The modified Lapidus procedure has been used to treat hallux abducto valgus and degenerative joint disease of the first metatarsocuneiform joint for many years. Historically, the Lapidus has been associated with poor satisfaction due to complications such as non-union. The aim of this study was to review the surgical outcomes of 18 patients using the validated Foot Health Status Questionnaire (FHSQ). The four domains within the FHSQ were all investigated. Pre and post operative angular measurements were also reviewed., Results: The results of the FHSQ were positive for all four domains, with foot pain having the greatest change. Only two complications were recorded: one poor pain control and one post operative bleed and all 18 patients went to osseous union. Radiographically the mean intermetatarsal angle improved by 7.8 degrees and HAV angle by 22.9. A positive association was also demonstrated between validated 'Minimal Important Difference' (MID) scores., Conclusion: The Lapidus is a valuable procedure that can have few complications and high levels of patient satisfaction. more...

Background: The national podiatric surgery audit tool PASCOM has a key role in determining patient satisfaction with service received and outcomes. The study aim was to examine the effects of time after surgery on satisfaction scores, by undertaking a retrospective longitudinal study utilising the patient satisfaction questionnaire known as the PSQ-10. A secondary objective was to examine test-retest reliability, since this has not been previously reported., Method: NHS and private patients having undergone forefoot surgery were sent a further PSQ-10 satisfaction questionnaire after the standard 6-month PSQ-10 had been completed. The main outcome measure reflected a change in the score between the original and repeat PSQ-10 response. Internal consistency was measured by correlation between baseline questions for a subset of patients who were sent the second questionnaire within 6 months of the first., Results: Of a total cohort of 204 patients, no significant differences were seen in overall scores. 46% showed increased satisfaction at the stage of the repeat questionnaire, with 41% a decline in score and 13% no change. Neurectomy patients improved the most with time and digital surgery was associated with the greatest decline in score. Significant correlations were demonstrated between all baseline questions for the test-retest cohort (13 patients)., Conclusion: Time does not significantly influence patient satisfaction after discharge. There was satisfactory consistency between PSQ-10 responses. Further investigation into digital procedure outcomes is required. more...