Gastrocnemius recession with the Strayer procedure (Fig. 1-A) and the modified Strayer procedure, which combines distal gastrocnemius recession with soleal fascial lengthening (S.F.L.) (Fig. 1-B). Both are Zone-1 procedures. Recurrent equinus was managed with lengthening of the gastrocnemius-soleus complex fascia, according to the method described by Vulpius and Stoffel³⁴ (Zone-2 procedure) (Fig. 1-C).

The Foot Health Thermometer.

Distribution of the periprosthetic fractures in the study population. TAR = total ankle replacement.

Flowchart showing the progress of the cohort and the number of patients available at latest follow-up evaluation.

Clinical photograph of first metatarsophalangeal joint illustrating advanced hallux rigidus with degeneration of >50% of the articular cartilage, substantial osteophyte formation, and joint space narrowing.

Flowchart showing the inclusion and exclusion of patients. The values in parentheses indicate the number of patients. OCD = osteochondral defect.

Patient flowchart.

Intraoperative photograph showing the exposure of the ankle after resection of the diseased joint and application of the external fixator.

Risk factors for amputation following open calcaneal fractures, with associated percentages. Overall, 42% of patients with an open calcaneal fracture underwent amputation. All Gustilo and Anderson type-IIIC fractures required amputation Of the forty-four extremities with a Gustilo and Anderson type-IIIB fracture with plantar wounds, twenty-seven (61%) required amputation of the extremity.

Modes of injury from explosions.