1,642 results match your criteria Clinics in Podiatric Medicine and Surgery [Journal]


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
15 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
7 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
8 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
2 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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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
12 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
9 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
2 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
8 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
11 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
3 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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https://linkinghub.elsevier.com/retrieve/pii/S08918422183004
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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
14 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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http://dx.doi.org/10.1016/j.cpm.2018.02.006DOI Listing
July 2018
7 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
2 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
7 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

Advanced Techniques in the Management of Foot and Ankle Trauma.

Authors:
Thomas J Chang

Clin Podiatr Med Surg 2018 04;35(2):ix

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.2018.01.002DOI Listing
April 2018
3 Reads

Intramedullary Nailing of Fibular Fractures.

Authors:
Justin J Fleming

Clin Podiatr Med Surg 2018 Apr;35(2):259-270

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

The reamed intramedullary (IM) technique has many benefits. However, open plating is the most commonly used technique. Previously, IM stabilization was reserved for fibular fractures, which were given lower priority, and generally associated with injuries to the distal tibia or instances in which the soft tissue envelope was unsuitable for an open approach. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.12.008DOI Listing
April 2018
4 Reads

Primary Arthrodesis in Severely Comminuted Fractures.

Clin Podiatr Med Surg 2018 Apr 4;35(2):233-257. Epub 2018 Jan 4.

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

At present there is controversy regarding the appropriate treatment of severely comminuted fractures of the lower extremity. Even with near-perfect anatomic reduction of severely comminuted fractures, development of posttraumatic arthritis is still present at an increased rate. Primary fusion of comminuted fractures of the foot and ankle creates successful and predictable outcomes, which dismisses the chance of developing posttraumatic arthritis and decreases complications and the need for revisional procedures. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.12.006DOI Listing
April 2018
9 Reads

Minimally Invasive Plate Osteosynthesis for Distal Tibia Fractures.

Clin Podiatr Med Surg 2018 Apr 1;35(2):223-232. Epub 2018 Feb 1.

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

Surgical treatment of distal tibia fractures can present as a difficult task. Intramedullary nailing (IMN), external fixation, and open reduction internal fixation (ORIF) have displayed various complications ranging from a high rate of knee morbidity with IMN to wound complications and infection with ORIF. Minimally invasive plate osteosynthesis (MIPO) has been used to decrease development of these complications. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.12.005DOI Listing
April 2018
7 Reads

Arthroscopic-Assisted Open Reduction Internal Fixation.

Clin Podiatr Med Surg 2018 Apr 2;35(2):199-221. Epub 2018 Jan 2.

Department of Orthopedics, Kaiser San Francisco Bay Area Foot and Ankle Residency Program, Kaiser Permanente Oakland Medical Center, 275 West MacArthur Boulevard, Oakland, CA 94611, USA; Department of Podiatry, Kaiser San Francisco Bay Area Foot and Ankle Residency Program, Kaiser Permanente Oakland Medical Center, 275 West MacArthur Boulevard, Oakland, CA 94611, USA.

The indications for arthroscopy have expanded over the years. Arthroscopic-assisted open reduction internal fixation in the setting of acute trauma is gaining popularity with foot and ankle surgeons. It serves to facilitate direct visualization of fracture fragments and allows for precise articular reduction with minimal soft tissue insult. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.12.004DOI Listing
April 2018
7 Reads

Role for Primary Repair of Deltoid Ligament Complex in Ankle Fractures.

Clin Podiatr Med Surg 2018 Apr 1;35(2):183-197. Epub 2018 Feb 1.

CORE Institute, 9305 West Thomas Road #305, Phoenix, AZ 85023, USA.

Acute deltoid injuries may occur with ankle fractures. They are often left to heal without repair, possibly leading to chronic medial ankle instability. Stress radiographs identify the need for surgical repair of fractures or soft tissue damage. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.12.003DOI Listing
April 2018
19 Reads

Paradigm Shift for the Surgical Management of Calcaneal Fractures?

Clin Podiatr Med Surg 2018 Apr;35(2):175-182

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

Calcaneal fractures account for up to 75% of all foot fractures and 1% to 2% of all fractures. Approximately 75% of calcaneal fractures are intraarticular, resulting in a prolonged recovery, more pain, and disability. The most common mechanism of injury includes falls from a height and motor vehicle accidents. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.12.002DOI Listing
April 2018
6 Reads

Management of Talar Fractures.

Authors:
Kwasi Y Kwaadu

Clin Podiatr Med Surg 2018 Apr;35(2):161-173

Department of Surgery, Temple University School of Podiatric Medicine, 148 North 8th Street, Philadelphia, PA 19107, USA. Electronic address:

Fractures of the talus are significant injuries with associated significant complications where the recovery zenith is less frequently good to excellent, and more commonly fair to satisfactory. These outcomes are a consequence of combinations of the inherent intrinsic and surrounding anatomy, technical and logistic difficulties in adequate fracture access, and the high-energy mechanisms typically associated with these injuries that further traumatize the surrounding tissues. This article reviews and provides current management recommendations for these devastating injuries. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.12.007DOI Listing
April 2018
9 Reads

Surgical Management Navicular and Cuboid Fractures.

Clin Podiatr Med Surg 2018 Apr 1;35(2):145-159. Epub 2018 Feb 1.

Podiatric Medical and Surgical Residency, Reconstructive Rearfoot and Ankle, Carilion Clinic, 3 Riverside Circle, Roanoke, VA 24014, USA.

The tarsal navicular is a critical component of the foot's medial longitudinal arch. Injuries to the navicular have significant long-term functional consequences. In addition to stress fractures, acute injuries to the navicular include acute avulsion, tuberosity, and body fractures. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.12.001DOI Listing
April 2018
15 Reads

New Technologies in Foot and Ankle Reconstruction.

Clin Podiatr Med Surg 2018 Jan 18;35(1):xv-xvi. Epub 2017 Sep 18.

Department of Foot and Ankle Surgery, Coordinated Health, 2775 Schoenersville Road, Bethlehem, PA 18015, USA; Geisinger Commonwealth School of Medicine, 529 Pine Street, Scranton, PA 18509, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cpm.2017.08.011DOI Listing
January 2018
8 Reads

New Technologies in Foot and Ankle Surgery.

Authors:
Thomas J Chang

Clin Podiatr Med Surg 2018 Jan;35(1):xiii-xiv

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.2017.09.001DOI Listing
January 2018
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The Use of Decellularized Human Placenta in Full-Thickness Wound Repair and Periarticular Soft Tissue Reconstruction: An Update on Regenerative Healing.

Clin Podiatr Med Surg 2018 Jan 23;35(1):95-104. Epub 2017 Oct 23.

Clinical Integration Department, Coordinated Health, 3435 Winchester Road, Allentown, PA 18104, USA.

Prolonged or incomplete healing of the foot and ankle can pose significant challenges. Therefore, investigators have begun searching for alternative treatment strategies. With advances in tissue engineering, decellularized human placental connective tissue matrix has been suggested as a means to achieve more rapid and complete healing for various soft tissue and bone procedures. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.08.010DOI Listing
January 2018
9 Reads

Computed Navigation Guidance for Ankle Replacement in the Setting of Ankle Deformity.

Clin Podiatr Med Surg 2018 Jan 21;35(1):85-94. Epub 2017 Oct 21.

Department of Orthopedic Surgery, University of British Columbia, 3114 - 910 West 10th Avenue, Vancouver, British Columbia V5Z 1M9, Canada.

Total ankle replacement (TAR) has evolved over the past decade as a treatment for end-stage ankle arthritis with improved survivorship. Despite the improving outcomes, ankle deformity represents a challenge to the foot and ankle surgeon with increased risk of implant failure. The use of preoperative computer-assisted guidance has led to better understanding the 3-dimensional ankle anatomy and associated deformities and allows for reproducible, anatomic placement of the TAR components. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.08.004DOI Listing
January 2018
7 Reads

Next-Generation, Minimal-Resection, Fixed-Bearing Total Ankle Replacement: Indications and Outcomes.

Clin Podiatr Med Surg 2018 Jan;35(1):77-83

The Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA. Electronic address:

Total ankle arthroplasty is an increasingly popular procedure to address tibiotalar joint arthritis. Implant design and the rationale behind it have changed throughout the years. Newer generation implants allow for minimal resection of bone and use fixed-bearing technology. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.08.005DOI Listing
January 2018
8 Reads

New Fixation Methods for the Treatment of the Diabetic Foot: Beaming, External Fixation, and Beyond.

Clin Podiatr Med Surg 2018 Jan 3;35(1):63-76. Epub 2017 Oct 3.

Orthopedic Foot and Ankle Center, 300 Polaris Parkway, Westerville, OH 43082, USA. Electronic address:

Surgical correction of complex foot and ankle deformities secondary to Charcot neuroarthropathy remains a significant surgical challenge. New technological advancements in hardware have allowed for the use of augmented fixation techniques in midfoot deformity correction, including the use of indication-specific locking plates and beaming techniques that offer enhanced stability. Severe hindfoot deformity management can employ the use of internal fixation, including intramedullary hindfoot nails and circular external fixation frames for limb salvage. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.08.001DOI Listing
January 2018
16 Reads

Advancements in Bone Fixation Utilizing Novel Biointegrative Fixation Technology.

Clin Podiatr Med Surg 2018 Jan 23;35(1):53-62. Epub 2017 Oct 23.

Ossio Ltd, 58 Hatachana Street, Tel Aviv 3052643, Israel.

Advancement in orthopedics have been increasing rapidly. The most important advances have been in fixation. With time, metallic hardware will begin to be replaced by materials that become one with the body. Read More

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http://dx.doi.org/10.1016/j.cpm.2017.08.009DOI Listing
January 2018
8 Reads