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Summary Nationwide collecting evaluations for the foot surgical operation activity on orthopaedic clinics and departments in Germany are not available up to now. For extraction of a survey, we carried out this inquiry at German clinics and orthopaedic departments under two aspects: how great is the annual feet surgical operation appearing on orthopaedic clinics at all and which functional techniques come in case of specific – typical – clinical pictures to application? The data are based on own information of the clinics and offer a good survey of foot surgical activities at orthopaedic handles in Germany. At the most houses one carries out in 75% of cases forefoot surgery and in 25% of the cases, rearfoot surgery. The ambulant foot surgery is no emphasis at German clinics, the pedobarography is no means of routine diagnostic. The information confirms the variety of the functional therapy in treatment of classical forefoot surgical questions. Very obviously the well criticized resectionarthroplasty is still noticed as a good therapeutic option in all clinical pictures despite of the heaviness of forefoot malposition.

A technique utilizing the Ilizarov ring fixator to stabilize a tibio-calcaneo-naviculo-cuboideal arthrodesis following talus resection is introduced. The advantages of this method will be demonstrated with the help of a case history. The described method permits early weight bearing, while supplying stability and compression of the fusion, thereby avoiding further loss of bone stock, while reducing the risk of thromboembolic complications. The Ilizarov ring fixator construction allows for the combination of the fusion with the correction of a preexisting or ensueing leg length discrepancy.

Both congenital as well as post-traumatic pseudarthroses of the clavicle are very rare diagnoses in childhood. This study evaluates operative and non-operative therapy in relation to diagnosis, clinical appearance, and results.A retrospective study was performed on all patients with pseudarthrosis of the clavicle in childhood. The data were obtained from medical records. Follow-ups were performed on patients who had undergone surgery.A total of 15 patients with 16 pseudarthroses were included, of these five patients had congenital and nine patients had post-traumatic pseudarthroses. One patient with a bilateral defect was diagnosed as having cleidocranial dysostosis. Concerning the patients with congenital pseudarthrosis, cosmetic appearance was the leading complaint while patients with post-traumatic pseudarthrosis suffered from pain and impaired function of the shoulder joint. Nine patients underwent surgery, including two patients with congenital, and seven with post-traumatie lesions.While patients with congenital pseudarthrosis mostly achieve good functional results by means of conservative therapy, surgery is optional in relation to the severity of cosmetic damage. However, the majority of post-traumatic lesions require operative therapy due to associated pain and restricted function.

A technique utilizing the Ilizarov ring fixator to stabilize a tibio-calcaneo-naviculo-cuboideal arthrodesis following talus resection is introduced. The advantages of this method will be demonstrated with the help of a case history. The described method permits early weight bearing, while supplying stability and compression of the fusion, thereby avoiding further loss of bone stock, while reducing the risk of thromboembolic complications. The Ilizarov ring fixator construction allows for the combination of the fusion with the correction of a preexisting or ensueing leg length discrepancy.

A technique utilizing the Ilizarov ring fixator to stabilize a tibio-calcaneo-naviculo-cuboideal arthrodesis following talus resection is introduced. The advantages of this method will be demonstrated with the help of a case history. The described method permits early weight bearing, while supplying stability and compression of the fusion, thereby avoiding further loss of bone stock, while reducing the risk of thromboembolic complications. The Ilizarov ring fixator construction allows for the combination of the fusion with the correction of a preexisting or ensueing leg length discrepancy.