1,658 results match your criteria Clinics in Podiatric Medicine and Surgery [Journal]


Contemporary Management of Displaced Intra-Articular Calcaneal Fractures.

Authors:
Thomas S Roukis

Clin Podiatr Med Surg 2019 Apr 17;36(2):xv-xvi. Epub 2019 Jan 17.

Gundersen Health System, Orthopaedic Center, Mail Stop: CO2-006, 1900 South Avenue, La Crosse, WI 54601-5467, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cpm.2018.11.001DOI Listing

Foreword.

Authors:
Thomas J Chang

Clin Podiatr Med Surg 2019 Apr 24;36(2):xiii. Epub 2019 Jan 24.

Redwood Orthopedic Surgery Associates, 208 Concourse Boulevard, Santa Rosa, CA 95403, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cpm.2018.11.002DOI Listing
April 2019
1 Read

Salvaging the Unsalvageable Severe Malunion Deformity After Displaced Intra-Articular Calcaneal Fractures: What Options Exist?

Clin Podiatr Med Surg 2019 Apr 12;36(2):339-347. Epub 2018 Dec 12.

Orthopaedic Center, Gundersen Health System, Mail Stop CO2-006, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address:

A subset of calcaneal fractures is so severe that it may warrant primary conservative treatment. Unfortunately, nonoperative management of these fractures can lead to the development of a calcaneal malunion and cause significant patient morbidity. Surgical management of these deformities often requires increasingly complex reconstructive procedures. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.013DOI Listing

Wound Coverage Options for Soft Tissue Defects Following Calcaneal Fracture Management (Operative/Surgical).

Clin Podiatr Med Surg 2019 Apr 12;36(2):323-337. Epub 2018 Dec 12.

Plastic Reconstructive and Orthopaedic Surgery, University of Pennsylvania Health System, Perelman Center for Advanced Medicine, 3400 Civic Center Boulevard, South Pavilion, 1st Floor, Philadelphia, PA 19104, USA.

Soft tissue defects and wound healing complications related to calcaneus fractures may result in significant morbidity. The management of these soft tissue complications requires following reconstructive principles that provide the requisites for preservation of the injured limb and the maximization of function. Soft tissue complications are addressed with methods that commensurate with the degree of injury, ranging from local wound care to free flap reconstruction. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.012DOI Listing
April 2019
6 Reads

Management of Calcaneal Fracture Malunion with Bone Block Distraction Arthrodesis: A Systematic Review and Meta-Analysis.

Clin Podiatr Med Surg 2019 Apr 14;36(2):307-321. Epub 2018 Dec 14.

Orthopaedic Center, Gundersen Healthcare System, Mail Stop CO2-006, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address:

One of the most severe complications in calcaneal fractures is a malunion. When a malunion occurs, subtalar bone block distraction arthrodesis provides restoration of calcaneal height, length, correction of varus deformity, and elimination of subtalar joint arthritis. A systematic review showed the union rate for all procedures was 95. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.011DOI Listing

Primary or Secondary Subtalar Arthrodesis and Revision of Calcaneal Nonunion with Minimally Invasive Rigid Internal Nail Fixation for Treatment of Displaced Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg 2019 Apr 24;36(2):295-306. Epub 2019 Jan 24.

Department of Trauma, Hand and Reconstructive Surgery, Rostock University Medical Center, Schillingallee 35, Rostock D-18057, Germany. Electronic address:

Primary or secondary subtalar joint arthrodesis after displaced intra-articular calcaneal fractures makes use of talocalcaneal large-diameter screw fixation after an eventual correction of geometric hindfoot deformity. Despite this procedure usually having a successful functional outcome, potential complications occur, including nonunion and malalignment, with an unknown rate of loss of correction or implant migration during the healing period. Angular stable fixation of the subtalar joint arthrodesis with an interlocking nail applied in a minimally invasive technique affords maintenance of the hindfoot position until osseous healing occurs. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.010DOI Listing
April 2019
6 Reads

Arthroscopic and Endoscopic Management of Common Complications After Displaced Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg 2019 Apr 24;36(2):279-293. Epub 2019 Jan 24.

Guangdong Provincial Engineering Research Center of Wound Repair and Regenerative Medicine, Affiliated Baoan Hospital of Shenzhen, Southern Medical University, The 8th People's Hospital of Shenzhen, Shenzhen, Guangdong 518101, China; Guangdong Provincial Academician Workstation of Wound Repair and Regenerative Medicine, Affiliated Baoan Hospital of Shenzhen, Southern Medical University, The 8th People's Hospital of Shenzhen, Shenzhen, Guangdong 518101, China; Department of Trauma and Orthopedics, Affiliated Baoan Hospital of Shenzhen, Southern Medical University, The 8th People's Hospital of Shenzhen, Shenzhen, Guangdong 518101, China.

The list of late complications after calcaneal fracture that can be treated through arthroscopic and/or endoscopic approach continues to expand. The late complications of calcaneal fractures can be classified into 3 groups: (1) those causing focal hindfoot or ankle pain, (2) those causing functional deficit, and (3) those present with diffuse and poorly localized pain. Many group 1 and some group 2 complications can be managed arthroscopically and/or endoscopically. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.009DOI Listing
April 2019
7 Reads

Intraoperative Reduction Techniques for Surgical Management of Displaced Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg 2019 Apr 24;36(2):269-277. Epub 2019 Jan 24.

Coastline Foot and Ankle Center, 800 Liberty Street Southeast, Salem, OR 97302, USA.

Fractures of the calcaneus are detrimental injuries, often caused by high-energy trauma. To best restore the functionality of a limb and allow normal ambulation, it is recommended to repair displaced intra-articular calcaneus fractures surgically. This article presents several methods of reduction and repair of the calcaneus. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.008DOI Listing
April 2019
7 Reads

Joint-Sparing Surgical Management of Sanders IV Displaced Intra-Articular Calcaneal Fractures.

Authors:
Thomas S Roukis

Clin Podiatr Med Surg 2019 Apr 24;36(2):251-268. Epub 2019 Jan 24.

Orthopaedic Center, Gundersen Health System, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address:

Displaced intra-articular calcaneal fractures represent life-altering injuries. Difficulty obtaining and maintaining calcaneal morphology and the significant risk of wound healing complications with an extensile lateral incision exist. Open reduction with internal fixation as a joint-sparing approach has been studied. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.007DOI Listing
April 2019
5 Reads

Role of Subtalar Arthroscopy for Displaced Intra-Articular Calcaneal Fractures.

Authors:
Chul Hyun Park

Clin Podiatr Med Surg 2019 Apr 28;36(2):233-249. Epub 2019 Jan 28.

Department of Orthopedic Surgery, Yeungnam University Medical Center, Hyeonchungno 170, Nam-gu, Daegu, 42415, Republic of Korea. Electronic address:

Subtalar arthroscopy has an important role in enhancing the reduction of the posterior facet in percutaneous and open approaches of displaced intra-articular calcaneal fractures. In the percutaneous approach, arthroscopically assistant percutaneous approach must be selected carefully for mild-to-moderately displaced fractures. In the open approach, there is still little evidence of the utility of subtalar arthroscopy. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.006DOI Listing

Sinus Tarsi Approach with Subcutaneously Delivered Plate Fixation for Displaced Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg 2019 Apr 24;36(2):225-231. Epub 2019 Jan 24.

Kaiser Permanente Santa Clara and GSAA, 710 Lawrence Expressway, Department 140, Santa Clara, CA 95051, USA.

Displaced intra-articular calcaneal fractures can be treated with open reduction and internal fixation through various methods, including the extensile lateral approach, sinus tarsi approach, percutaneous reduction and fixation, external fixation, and calcaneoplasty. Although the gold standard is the extensile lateral approach, this method has significant wound-healing complications associated with it. Literature shows that the reduction achieved through minimally invasive techniques is equal to that achieved with the extensile lateral approach, while reducing the amount of postoperative complications. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.005DOI Listing
April 2019
5 Reads

Sinus Tarsi Approach with Screws-Only Fixation for Displaced Intra-Articular Calcaneal Fractures.

Authors:
Tim Schepers

Clin Podiatr Med Surg 2019 Apr 24;36(2):211-224. Epub 2019 Jan 24.

Trauma Unit, Amsterdam UMC, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam 1105 AZ, The Netherlands. Electronic address:

Treatment of displaced intra-articular calcaneal fractures has changed numerous times in the last decades. Currently, less invasive surgery has reemerged and is increasingly used. The sinus tarsi approach is most commonly used. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.004DOI Listing
April 2019
9 Reads
0.505 Impact Factor

Closed Manipulation, Intraosseous Reduction, and Rigid Internal Fixation for Displaced Intra-Articular Calcaneal Fractures.

Authors:
Thomas S Roukis

Clin Podiatr Med Surg 2019 Apr 24;36(2):197-210. Epub 2019 Jan 24.

Orthopaedic Center, Gundersen Health System, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address:

Although open reduction and internal fixation for treating displaced intra-articular calcaneal fractures remain common, difficulty obtaining and maintaining both calcaneal morphology and subtalar articular surface reduction remain. In addition, open approaches induce a significant risk of wound-healing complications. For this reason, closed manipulation to restore calcaneal morphology, intra-osseous fracture reduction, and rigid locked nail fixation was developed and validated for clinical use. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.003DOI Listing
April 2019
7 Reads

Intra-Articular Calcaneal Fractures: A Literature Review of Atraumatic Incisional Considerations.

Clin Podiatr Med Surg 2019 Apr 24;36(2):185-195. Epub 2019 Jan 24.

Cambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA 02139, USA.

When calcaneal fractures occur, the treating physician is faced with many decisions that are required to bring about a good clinical outcome. From a surgical perspective, decisions must be made regarding whether or not fixation is necessary, and if so, what will be used. Implicit in that thought process is planning of the surgical approach. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.014DOI Listing

Surgical Management of Displaced Intra-Articular Calcaneal Fractures: What Matters Most?

Clin Podiatr Med Surg 2019 Apr 24;36(2):173-184. Epub 2019 Jan 24.

Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390-8883, USA.

Displaced intra-articular calcaneal fractures are severe, complex injuries that can cause significant long-term functional impairment. Despite the controversies of whether these fractures should be treated operatively or nonoperatively, functional improvement can be seen with confounding variables that can be controlled by the surgeon. This article reviews prognostic factors that are associated with good functional outcomes following operatively treated displaced intra-articular calcaneal fractures. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.002DOI Listing
April 2019
10 Reads

Clinical Management of Acute, Closed Displaced Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg 2019 Apr 12;36(2):163-171. Epub 2018 Dec 12.

Orthopaedic Center, Gundersen Health System, Mail Stop: CO2-006, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address:

Performing a thorough clinical evaluation following an acute displaced intra-articular calcaneal fracture is paramount for optimal surgical timing and long-term outcome. Initial survey must entail a comprehensive evaluation to rule out concurrent injuries. Focused lower extremity examination must involve a complete neurovascular and soft tissue evaluation to identify such conditions as compartment syndrome or compromised integument, which necessitate urgent intervention. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.10.001DOI Listing
April 2019
1 Read

Perioperative Considerations in the Surgical Patient.

Authors:
Jeffrey E Shook

Clin Podiatr Med Surg 2019 Jan;36(1):xiii-xiv

Satilla Foot and Ankle 545 Knight Avenue Waycross, GA 31501, USA; Adjunct Faculty St. Vincent Charity Medical Center Cleveland, OH 44115, USA; Adjunct Faculty Kent State University College of Podiatric Medicine Independence, OH 44131, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cpm.2018.09.003DOI Listing
January 2019
1 Read

Perioperative Considerations in the Surgical Patient.

Authors:
Thomas J Chang

Clin Podiatr Med Surg 2019 Jan 25;36(1):xi. Epub 2018 Oct 25.

Redwood Orthopedic Surgery Associates, 208 Concourse Boulevard, Santa Rosa, CA 95403, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cpm.2018.09.004DOI Listing
January 2019
2 Reads

Evaluation and Perioperative Management of the Diabetic Patient.

Clin Podiatr Med Surg 2019 Jan 25;36(1):83-102. Epub 2018 Oct 25.

Department of Psychiatry, Rutgers New Jersey Medical School, 185 South Orange Avenue, Newark, NJ 07103, USA.

Diabetes mellitus is a devastating disease that has reached epidemic proportions. The surgical patient with diabetes is at increased risk for developing complications when compared with patients without diabetes. A comprehensive preoperative work-up must be performed, including ancillary studies, with optimization of the patient's glucose levels during the perioperative period to decrease the chance of developing surgical complications. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.08.004DOI Listing
January 2019
20 Reads

Periprocedural Concerns in the Patient with Renal Disease.

Clin Podiatr Med Surg 2019 Jan 26;36(1):59-82. Epub 2018 Oct 26.

Nephrology, Princeton Community Hospital, 122 12th Street, Princeton, WV 24740, USA.

Treating patients with kidney disease can be both a difficult and a complex process. Understanding how to care for patients who have kidney disease is essential for lowering perioperative as well as periprocedural morbidity and mortality. The primary aim in renal evaluation and care is to control and mitigate factors that may result in acute kidney injury (AKI) and/or cause further decline in renal function. Read More

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January 2019
14 Reads

Prevention of Infection in Foot and Ankle Surgery.

Clin Podiatr Med Surg 2019 Jan;36(1):37-58

Section of Podiatry, Department of Surgery, St. Vincent Charity Medical Center, 2322 East 22nd Street, Cleveland, OH 44115, USA.

The literature for prevention of surgical infection related primarily to foot and ankle surgery is sparse, with most attention on total joint replacement and abdominal surgery. Attention should be paid to preoperative, intraoperative, and postoperative elements, which can have an effect on the development of postoperative infection. Although antibiotic prophylaxis typically is discussed in isolation, inclusion of this step into the process enhances the overall evaluation of surgery with respect to infection. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.08.007DOI Listing
January 2019
15 Reads

Prevention of Deep Venous Thromboembolism in Foot and Ankle Surgery.

Clin Podiatr Med Surg 2019 Jan 25;36(1):21-35. Epub 2018 Oct 25.

Podiatric Medicine and Surgery Residency Program, Saint Vincent Charity Medical Center, 2351 East 22nd Street, Cleveland, OH 44115, USA.

Although rare, deep vein thrombosis (DVT) and pulmonary embolism remain a concern for foot and ankle surgeons. Most prophylactic measures against DVT formation are synthesized from orthopedic hip and knee data, and therefore the routine use of these recommendations may place patients at risk for complications associated with unnecessary prophylaxis. In this article we review and present the most current literature specific to venous thromboembolism (VTE) in foot and ankle surgery. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.08.002DOI Listing
January 2019
6 Reads

Postoperative Convalescence.

Clin Podiatr Med Surg 2019 Jan 25;36(1):153-161. Epub 2018 Oct 25.

St Vincent Charity Medical Center, 2322 East 22nd Street, Cleveland, OH 44115, USA.

Foot and ankle surgery can impose significant hardship on a patient when carrying out their essential activities of daily living including mobility, sourcing and preparing food, as well as maintaining personal hygiene. Pre-operative planning between the surgeon, patient and caregivers can circumvent most of the challenges imposed by the post-operative restrictions of foot and ankle surgery. Depending on the weight bearing status of the operated extremity, a wide array of durable medical equipment devices are available to provide mobility and safety for the patient. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.09.002DOI Listing
January 2019
1 Read

Obesity-Related Foot Pain: Diagnosis and Surgical Planning.

Clin Podiatr Med Surg 2019 Jan 25;36(1):141-151. Epub 2018 Oct 25.

DeKalb Medical Center, 2701 North Decatur Road, Decatur, GA 30033, USA.

Obese patients are at higher risk for surgical complications and consist of a large portion of podiatric patients. Obese patients are additionally at increased risk of developing specific podiatric conditions, and it is important to be able to identify and appropriately treat these conditions accordingly. Initially, conservative treatment is adequate for a variety of pathologic conditions related to obesity. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.08.008DOI Listing
January 2019
18 Reads

Perioperative Understanding of Geriatric Patients.

Clin Podiatr Med Surg 2019 Jan 26;36(1):131-140. Epub 2018 Oct 26.

Department of Podiatric Surgery, St. Vincent Charity Medical Center, 2351 East 22nd Street, Cleveland, OH 44115, USA.

Surgical treatment of the elderly can be a very difficult and complex endeavor. Appropriate and thorough evaluation of this group of patients is essential to identify surgical candidates who may be at increased risk for developing age-related problems, such as cognitive impairment or postoperative delirium. Involvement of family members and ancillary caregivers is ideal. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.08.006DOI Listing
January 2019
19 Reads

Perioperative Management of the Rheumatoid Patient.

Clin Podiatr Med Surg 2019 Jan 25;36(1):115-130. Epub 2018 Oct 25.

Foot and Ankle Surgery Residency, SSM Health DePaul Hospital, 12303 DePaul Drive, Suite B1, St Louis, MO 63044, USA. Electronic address:

Rheumatoid arthritis is a complex disease state with multiple associated comorbidities. Perioperative evaluation of the rheumatoid patient from a multidisciplinary approach is necessary to achieve favorable outcomes. A complete history and physical, laboratory, cervical, cardiovascular, pulmonary, and medication assessment before surgery should be performed. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.08.005DOI Listing
January 2019
8 Reads

Perioperative Cardiac Considerations in the Surgical Patient.

Clin Podiatr Med Surg 2019 Jan 30;36(1):103-113. Epub 2018 Oct 30.

Department of Adult Cardiovascular Medicine, Joan C. Edwards School of Medicine, Marshall University, 1249 15th Street, Suite 4000, Huntington, WV 25701, USA. Electronic address:

The ability to identify and guide evaluation of the patient with cardiac disease represents a necessary skill for success in surgery of the foot and ankle. Common risk factors, such as diabetes and peripheral arterial disease, are encountered in podiatric practice. Recognition of patients at risk for cardiac disease and a predilection for sustaining a major adverse cardiac event perioperatively advocates for preoperative cardiology consultation. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.09.001DOI Listing
January 2019
16 Reads

Preoperative Anesthetic Considerations in the Podiatric Surgical Candidate.

Clin Podiatr Med Surg 2019 Jan 25;36(1):1-19. Epub 2018 Oct 25.

General Anesthesiology and Critical Care, Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

There are multiple challenges the podiatric surgeon faces while attempting to treat patients in the perioperative setting. Given the aging and increasingly complex surgical population, preoperative evaluation is of utmost importance to mitigate unnecessary risks and to optimize patient outcomes. This article reviews key preoperative considerations, patient evaluation, and factors affecting selection of anesthetic technique. Read More

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January 2019
17 Reads

Back to the Future.

Authors:
Guido A LaPorta

Clin Podiatr Med Surg 2018 Oct 14;35(4):xi. Epub 2018 Aug 14.

Geisinger Community Medical Center, 1800 Mulberry Street, Scranton, PA 18510, USA; Our Lady of Lourdes Memorial Hospital, 169 Riverside Drive, Binghamton, NY 13905, USA; Geisinger Commonwealth Medical College, 525 Pine Street, Scranton, PA 18510, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cpm.2018.07.001DOI Listing
October 2018
1 Read

Innovations in Foot and Ankle Surgery.

Authors:
Thomas J Chang

Clin Podiatr Med Surg 2018 Oct 14;35(4):ix. Epub 2018 Aug 14.

Department of Podiatric Surgery, California College of Podiatric Medicine, The Podiatry Institute, Redwood Orthopedic Surgery Associates, 208 Concourse Boulevard, Santa Rosa, CA 95403, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cpm.2018.07.002DOI Listing
October 2018
7 Reads

Midfoot Charcot Reconstruction.

Clin Podiatr Med Surg 2018 Oct;35(4):509-520

Geisinger CMC, 1800 Mulberry St, Scranton, PA 18510, USA; Our Lady of Lourdes Memorial Hospital, 169 Riverside Dr, Binghamton, NY 13905, USA.

Midfoot Charcot joints are complex problems that are most commonly seen in patients with peripheral neuropathy secondary to diabetes. The goal of management is to prevent pedal collapse, which can lead to ulceration; infection; and in some cases, amputation. Principles of surgical management should be centered on respecting the soft tissue, obtaining correction, maintaining correction, and supplementing with orthobiologics to achieve healing. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.07.003DOI Listing
October 2018
10 Reads

Lengthen, Alignment, and Beam Technique for Midfoot Charcot Neuroarthropathy.

Clin Podiatr Med Surg 2018 Oct 14;35(4):497-507. Epub 2018 Aug 14.

Podiatric Medical Education, Our Lady of Lourdes Memorial Hospital, 169 Riverside Dr, Binghamton, NY 13905, USA.

Charcot neuroarthropathy is a disabling pathology in the foot and ankle. Midfoot Charcot is most common and results in progressive deformity. We describe a 2-step approach to surgical reconstruction, referred to as the lengthen, alignment, and beam technique. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.05.008DOI Listing
October 2018
2 Reads

The Gradual and Acute Correction of Equinus Using External Fixation.

Clin Podiatr Med Surg 2018 Oct 14;35(4):481-496. Epub 2018 Aug 14.

Geisinger Community Medical Center, 1800 Mulberry Street, Scranton, PA 18510, USA; Our Lady of Lourdes Memorial Hospital, 169 Riverside Drive, Binghamton, NY 13905, USA.

Equinus is one of the most common deformities noted in foot and ankle biomechanics that, at times, if not identified and managed properly may lead to significant lower extremity pathology. With that being said, this deformity is also one that may be both underdiagnosed and undertreated. Treatment for equinus can range from conservative therapy to more aggressive surgical therapy. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.05.007DOI Listing
October 2018
1 Read

Current Advancements in Ankle Arthrodiastasis.

Clin Podiatr Med Surg 2018 Oct 14;35(4):467-479. Epub 2018 Aug 14.

Department of Podiatric Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104, USA.

Ankle arthrodiastasis offers an option for patients with end-stage primary or posttraumatic ankle osteoarthritis. The process allows for a joint salvage procedure as an alternative to arthrodesis or ankle implant arthroplasty. The distraction within the joint optimizes the intraarticular environment to permit equilibration of hydrostatic pressure, promoting subchondral morphoangiogenesis, and decreases subchondral sclerosis, thereby mitigating pain. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.05.006DOI Listing
October 2018
5 Reads

Essentials of Deformity Planning.

Clin Podiatr Med Surg 2018 Oct;35(4):457-465

Grant Medical Center, 11 S Grant Avenue, Columbus, OH 43215, USA; Nationwide Children's Hospital, 555 South 18th Street, Columbus, OH 43205, USA.

Learning the essentials of deformity planning is the basis for the treatment of simple and complex deformities. Understanding the planes of deformity, radiographic correlation, and clinical correlations allows the surgeon to treat the condition with deeper knowledge of deformity, leading to improved deformity correction. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.05.005DOI Listing
October 2018
1 Read

Biomechanical Considerations in Foot and Ankle Circular External Fixation: Maintenance of Wire Tension.

Clin Podiatr Med Surg 2018 Oct 11;35(4):443-455. Epub 2018 Aug 11.

Texas Scottish Rite Hospital for Children, 2222 Welborn Street, Dallas, TX 75219, USA.

Initial tensioning of the forefoot wires to 130 kg followed by simultaneous tensioning of the calcaneal wires to 90 kg and using the rigid double-row foot plate closed anteriorly via threaded rods produce maximum preservation of the initial wire tension during foot circular external fixation. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.05.004DOI Listing
October 2018
2 Reads

Treatment Strategies and Frame Configurations in the Management of Foot and Ankle Deformities.

Clin Podiatr Med Surg 2018 Oct 11;35(4):423-442. Epub 2018 Aug 11.

Walk A Mile Centre, 223 Clifton Avenue, Lyttelton, Pretoria 0157, South Africa.

To provide standardized nomenclature for various hexapod frame configurations for foot and ankle deformity correction, a unique classification of the hexapod external fixators was proposed. This classification is based on number of correction levels, secured anatomic blocks, and direction of the strut attachment. It allows the combination of all different foot and ankle frame assemblies into a few standard hexapod configurations, irrespective of which external fixator is used. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.05.003DOI Listing
October 2018
2 Reads

3D Printed Total Talar Replacement: A Promising Treatment Option for Advanced Arthritis, Avascular Osteonecrosis, and Osteomyelitis of the Ankle.

Clin Podiatr Med Surg 2018 Oct 14;35(4):403-422. Epub 2018 Aug 14.

Department of Graduate Medical Education and Podiatric Surgery, Our Lady of Lourdes Memorial Hospital, 169 Riverside Drive, Binghamton, NY 13905, USA.

Advanced ankle arthritis, avascular osteonecrosis, and osteomyelitis of the ankle remain a surgical challenge in the foot and ankle arena with limited treatment options. Multiple medical comorbidities contribute to total loss of the talus. Collapse of the talar body as a complication of total ankle arthroplasty, talectomy in infection, and septic talus necrosis or severe bone defects caused by tumor resection may result in need for total talar replacement. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.06.002DOI Listing
October 2018
18 Reads

Minimally Invasive Bunion Correction.

Clin Podiatr Med Surg 2018 Oct 11;35(4):387-402. Epub 2018 Aug 11.

Geisinger CMC, 1800 Mulberry St, Scranton, PA 18510, USA; Our Lady of Lourdes Memorial Hospital, 169 Riverside Dr, Binghamton, NY 13905, USA.

Hallux valgus is a common condition that results in lateral deviation of the hallux and medial deviation of the metatarsal. When conservative management fails, surgical management is often necessary. More than 150 procedures have been described, and most recommend an open approach. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.05.002DOI Listing
October 2018
6 Reads

Resorbable Polymer Pin Inserted with Ultrasound Activated BoneWelding Technique Compared with a Screw for Osteotomy Fixation in the Reverse L Bunion Correction.

Authors:
Thomas M Rocchio

Clin Podiatr Med Surg 2018 Oct 11;35(4):373-385. Epub 2018 Aug 11.

PA Foot and Ankle Associates, 2895 Hamilton Boulevard, Suite 101, Allentown, PA 18104, USA; Easton Hospital Wound Healing Center, 21 Community Drive, Easton, PA 18045, USA. Electronic address:

Screw fixation of an osteotomy in the first metatarsal for bunion correction represents a compromise. The need to return to the operating room for removal exposes patients to added anesthesia risk, expense, time, and possible surgical complications. This article compares screw fixation with a novel new bioresorbable polymer pin that is inserted with an ultrasound activated BoneWelding technique to fixate a bunion correction using a reversed L osteotomy. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.05.001DOI Listing
October 2018
4 Reads

Subchondroplasty: Treatment of Bone Marrow Lesions in the Lower Extremity.

Clin Podiatr Med Surg 2018 Oct 14;35(4):367-371. Epub 2018 Aug 14.

Geisinger Community Medical Center, 1800 Mulberry Street, Scranton, PA 18510, USA; LaPorta and Associates PC, 414 East Drinker Street, Dunmore, PA 18512, USA.

Bone marrow lesions are associated with pain, disease progression, and cartilage loss in inflammatory and noninflammatory conditions, and are related to mechanical loading and subchondral stress. Treatment, particularly in the foot and ankle, is challenging. In the subchondroplasty procedure, flowable, synthetic, calcium phosphate bone filler is injected into the defect region, improving subchondral bone integrity and allowing remodeling back into healthy cancellous bone. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.06.001DOI Listing
October 2018
2 Reads

Randomized, Prospective, Blinded-Enrollment, Head-To-Head Venous Leg Ulcer Healing Trial Comparing Living, Bioengineered Skin Graft Substitute (Apligraf) with Living, Cryopreserved, Human Skin Allograft (TheraSkin).

Clin Podiatr Med Surg 2018 Jul 14;35(3):357-365. Epub 2018 Apr 14.

Department of Mathematical Sciences, Center for Excellence in Mathematics and Science Education, Clemson University, 0-323 Martin Hall, Clemson, SC 29634-0975, USA.

Chronic venous leg ulcers are responsible for significant morbidity and health care costs worldwide. This pilot study evaluated the effectiveness 2 biologically active grafts, TheraSkin and Apligraf, in conjunction with compression therapy. The study, not industry-sponsored, was designed and conducted as a prospective, head-to-head, single-site, randomized clinical trial to assess differences in healing rates, adverse outcomes, and treatment costs. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08918422183002
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http://dx.doi.org/10.1016/j.cpm.2018.02.006DOI Listing
July 2018
12 Reads

Near-Infrared Spectroscopy Imaging for Assessing Skin and Wound Oxygen Perfusion.

Clin Podiatr Med Surg 2018 Jul 3;35(3):343-355. Epub 2018 May 3.

Kent Imaging, 804B 16 Avenue, SW, Calgary, AB T2R 0S9, Canada.

Near infrared spectroscopy (NIRS) is a technique whereby light is transmitted to the skin or the surface of a wound. Light is selectively absorbed or reflected in order to calculate the percentage of oxygenated and deoxygenated hemoglobin. By calculating this ratio, the level of tissue oxygen perfusion can be assessed. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.02.005DOI Listing
July 2018
3 Reads

Soft Tissue Reconstruction with Artelon for Multiple Foot and Ankle Applications.

Clin Podiatr Med Surg 2018 Jul 4;35(3):331-342. Epub 2018 May 4.

Division of Podiatric Surgery, Department of Surgery, Cambridge Health Alliance, Harvard Medical School, 1493 Cambridge Street, Floor 2, Cambridge, MA 02139, USA.

Surgical repair of tendons of the foot and ankle is performed utilizing various methods, including autografts, allografts, and synthetic grafts. Artelon is a synthetic biomaterial that is fabricated from wet-spun fibers of PCL-based polyurethane urea, and has, optimal mechanical properties compared with other grafting options. Because of excellent results of Artelon in ACL reconstruction, its use was explored in 3 foot and ankle cases: repair of Achilles, posterior tibial, and peroneal tendons. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.02.008DOI Listing
July 2018
4 Reads

Mesenchymal Stem Cell Applications for Joints in the Foot and Ankle.

Clin Podiatr Med Surg 2018 Jul;35(3):323-330

Division of Podiatric Surgery, Department of Surgery, Cambridge Health Alliance, Harvard Medical School, 1493 Cambridge Street, Floor 2, Cambridge, MA 02139, USA. Electronic address:

The use of mesenchymal stem cell injections is a new approach to the treatment of painful joints, particularly in the foot and ankle. Previous studies performed in the knee have considered allogeneic and xenogeneic injections, and autologous cells expanded in culture. This article considers these applications and considers the possibility of performing these types of injections in the foot and ankle joints. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.02.007DOI Listing
July 2018
8 Reads

The Role of Placental Membrane Allografts in the Surgical Treatment of Tendinopathies.

Clin Podiatr Med Surg 2018 Jul 4;35(3):311-321. Epub 2018 May 4.

Podiatric Medicine and Surgery, Department of Surgery, Cambridge Health Alliance, Harvard Medical School, 1493 Cambridge Street, Cambridge, MA 02139, USA.

Placental membrane grafts have long been used in the realms of wound care and ophthalmology to assist in the healing cascade. Recently, surgeons have started to implant placental membrane grafts in a wide variety of foot and ankle surgeries to take advantage of their many touted benefits. The application of placental membrane grafts for cases of lower extremity tendinopathy is detailed in this article. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.02.004DOI Listing
July 2018
12 Reads

Living Cryopreserved Bone Allograft as an Adjunct for Hindfoot Arthrodesis.

Clin Podiatr Med Surg 2018 Jul 4;35(3):295-310. Epub 2018 May 4.

Orthopaedic Center, Gundersen Healthcare System, Mail Stop: CO2-006, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address:

Hindfoot arthrodesis is a frequently performed procedure by foot and ankle surgeons. The relatively high nonunion rate associated with these procedures has led surgeons to use adjunctive bone graft to help augment osseous union. Cellular bone allografts are a specific type of graft that incorporates osteoconductive, osteoinductive, and osteogenic properties while also eliminating the common disadvantages of autografts and traditional allografts. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.02.002DOI Listing
July 2018
2 Reads

Allograft Cartilage Replacements.

Clin Podiatr Med Surg 2018 Jul 8;35(3):281-293. Epub 2018 May 8.

Podiatry Associates of Cincinnati, 10615 Montgomery Road, Suite 100, Cincinnati, OH 45242, USA. Electronic address:

The body's ability to repair injured articular cartilage is poor due to the inherent physiology of cartilage. Joint arthritis, whether through injury or increasing age, is a prevalent condition. Treatment of an articular cartilage injury may include arthroplasty, fusion, or repair. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.02.003DOI Listing
July 2018
4 Reads

Complications Following Allograft and Xenograft Resurfacing of the First Metatarsal Head: A Case Series.

Clin Podiatr Med Surg 2018 Jul 4;35(3):271-280. Epub 2018 May 4.

Division of Podiatric Surgery, Department of Surgery, Cambridge Health Alliance, Harvard Medical School, 1493 Cambridge Street, Floor 2, Cambridge, MA 02139, USA. Electronic address:

Ten cases using decellularized allografts and xenografts for the purpose of resurfacing the first metatarsal head are reviewed in this article. Although most of the cases were performed without any postoperative complications, the focus of this series is on 2 of the 3 cases in which destruction of the first metatarsal head was observed postoperatively due to a foreign body reaction and severe degeneration within the metatarsal head. A salvage procedure using a silicone total joint to replace the damaged surface is shown. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.02.001DOI Listing
July 2018
4 Reads

Advanced Techniques in the Management of Foot and Ankle Trauma.

Authors:
Justin J Fleming

Clin Podiatr Med Surg 2018 04 1;35(2):xi-xii. Epub 2018 Feb 1.

University Orthopaedic Associates, 2 World's Fair Drive, Somerset, NJ 08873, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cpm.2018.01.001DOI Listing
April 2018
3 Reads