Every edition. An expanding view of orthopaedic evidence.
Ankle fracture fixation is one of the most common orthopaedic trauma operations, and this trial supports letting selected patients bear weight at 2 weeks rather than restricting them until 6 weeks.
High volume injections are increasingly offered for stubborn Achilles tendinopathy, and this sham-controlled trial suggests they add no lasting benefit to exercise, with steroid offering only brief relief and possible later harm.
Chronic lateral ankle instability is a common indication for ankle ligament surgery, and knowing that arthroscopic repair mainly changes early recovery and wound problems, not long-term function, helps frame surgical choice and patient counselling.
CRPS-I of the foot/ankle is a difficult, disabling condition with limited proven adjuncts, so evidence about a home-use, non-invasive PEMF device is relevant to orthopaedic and rehabilitation practice even though this trial is small and unblinded.
Symptomatic hardware is one of the commonest complications after ankle fracture fixation, and implant choice over the subcutaneous medial malleolus is a modifiable decision that trainees will see daily.
First MTP fusion is the standard operation for end-stage hallux rigidus, and whether patients must stay off the foot for 6 weeks has a large effect on driving, work, falls risk and who can safely be offered surgery.
