July 2023 – Damien Lafferty

Revisional bunion surgery: subtle points

By Dr Damien Lafferty|2023-07-24T20:04:51+10:00July 24th, 2023|Bunions|

Blog's main page The images may appear relatively straightforward on initial inspection. However, some crucial points can allow revisional, or any, bunion surgery to have a greater chance of long-term success. The image is of a patient who presented with a history of failed bunion surgery. The surgery would never be successful, as the main underlying [...]

Second MTPJ arthrosis and capsular interpositional arthroplasty

By Dr Damien Lafferty|2023-07-10T08:45:59+10:00July 10th, 2023|Foot pain, MTPJ|

Blog's main page This was a very symptomatic 2nd MTPJ that had progressed for many years. Conservative care has been exhausted, and the patient was referred for a surgical consultation. Please see the left image for decreased joint space, subchondral sclerosis and bony spurring. Range of motion was limited with dorsal jamming and marked crepitus. My [...]