The reported failure rate for cheilectomy alone in patients with advanced disease

is approximately 37.5%. We reported our results with the combination of cheilectomy and extension osteotomy at the proximal phalanx for the treatment of advanced hallux rigidus.

Methods: Between 2000 and 2007, eighty-one patients with advanced hallux rigidus (classified as Hattrup and Johnson Grade HI) underwent a unilateral cheilectomy and great toe proximal phalangeal extension osteotomy. Outcome assessment was determined by comparison of preoperative and postoperative American Orthopaedic Foot & Apoptosis Compound Library ic50 Ankle Society scores, radiographs, first metatarsophalangeal joint motion, and patient satisfaction. Sixty-four of the eighty-one patients STI571 had complete clinical and radiographic examinations at a minimum duration of follow-up of two years.

Results: The mean duration of follow-up was 4.3 years. The mean dorsiflexion of the first metatarsophalangeal joint improved significantly (p < 0.05), by 27.0 degrees, from 32.7 degrees preoperatively to 59.7 degrees postoperatively. The average American Orthopaedic Foot & Ankle Society scores improved significantly (p <0.05) from 67.2 points

preoperatively to 88.7 points postoperatively. Radiographs of the interphalangeal joint made postoperatively showed no evidence of development of interphalangeal joint arthritis. Of the eighty-one patients, sixty-nine (85.2%) were satisfied with the results of treatment and four (4.9%) subsequently underwent arthrodesis to treat persistent symptoms at the first metatarsophalangeal joint.

Conclusions: To our knowledge, this study is the first to support the use of a combination of cheilectomy and extension osteotomy of the great toe proximal phalanx as an alternative to first metatarsophalangeal joint arthrodesis to manage patients with advanced hallux rigidus.”
“The prevalence of Helicobacter pylori infection in young BTSA1 concentration children attending day care facilities was studied using it monoclonal stool

antigen test. Of 316 samples, 78 (24.7%) were positive. Only 7/98 (7.1%) of the 3- to 12-month-old infants tested positive compared with 71/218 (32.5%) of the 13- to 60-month-old group. We conclude that approximately 30% of infants may become infected with H. pylori after the first year of life.”
“We reviewed cytogenetic studies performed on 4216 patients who were referred to the Cytogenetics Unit at Dicle University Hospital, Diyarbair, Southeast Turkey, between 2000 and 2009. The cases were grouped according to the reason of referral for cytogenetic analysis. The frequencies of the different types of numerical and structural abnormalities were determined, and the relative frequency of cases with abnormal karyotypes was calculated in each group. The most common reason for requesting cytogenetic testing was referral for Down syndrome and for repeated abortions.