4,197 results match your criteria Lower Extremity Reconstruction Foot


An experimental study on the digital precision of internal fixation via the sinus tarsi approach for calcaneal fractures.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019834072

1 National Key Discipline of Human Anatomy, School of Basic Medical Science, Southern Medical University, Guangdong Province, China.

Objective:: To investigate the effectiveness and accuracy of internal fixation of calcaneal fractures with a three-dimensional (3-D) printing navigation module via the sinus approach.

Methods:: Eleven lateral lower extremity specimens were used in the experiment and divided into the digital design (DD) group ( n = 11) and the real surgery (RS) group ( n = 11). For the DD group, thin-section computed tomography (CT) scans, virtual fracture modeling, virtual bone plate fixation, sinus occlusal module design, and navigation module design were performed for the cadaver specimens. Read More

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http://dx.doi.org/10.1177/2309499019834072DOI Listing

Microsurgical Reconstruction of the Lower Extremity.

Semin Plast Surg 2019 Feb 8;33(1):54-58. Epub 2019 Mar 8.

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

Reconstruction of bony and soft tissue defects of the lower extremity has been revolutionized by the advent of microsurgical tissue transfer. There are numerous options for reconstruction. Possibilities include transfer of soft tissue, composite (bone and soft tissue) tissue, and functional muscle. Read More

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http://dx.doi.org/10.1055/s-0039-1677878DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408237PMC
February 2019
2 Reads

Risk Factors Associated With Major Lower Extremity Amputation After Osseous Diabetic Charcot Reconstruction.

J Foot Ankle Surg 2019 Mar;58(2):295-300

Professor, Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington DC. Electronic address:

Patients with diabetic Charcot neuroarthropathy (CN) are at high risk for ulcerations and major lower extremity amputations (LEAs). Osseous reconstruction is an important component in ulcer healing and prevention; however, despite such efforts, major LEAs remain a serious postreconstruction concern. The aim of this study was to identify risk factors for major LEA in patients who underwent osseous Charcot reconstruction. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.059DOI Listing
March 2019
1 Read

Gracilis musculotendinous free flap for lower extremity reconstruction after surgical removal of malignant tumors: A report of five cases.

Microsurgery 2019 Feb 27. Epub 2019 Feb 27.

Department of Orthopaedic Surgery, The Johns Hopkins School of Medicine, Baltimore, Maryland.

Background: Lower extremity reconstruction is challenging because of the need to restore form and function. Despite the many options for soft-tissue coverage, little research has addressed combined tendon and soft-tissue reconstitution. We present a series of patients undergoing lower extremity tendon reconstruction and wound coverage with a single free gracilis flap and its tendon. Read More

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http://dx.doi.org/10.1002/micr.30444DOI Listing
February 2019
6 Reads

V-Y Tendon Plasty for Reconstruction of Chronic Achilles Tendon Rupture: A Medium-term and Long-term Follow-up.

Orthop Surg 2019 Feb 27;11(1):109-116. Epub 2019 Feb 27.

Center for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.

Objective: To evaluate the surgical results of V-Y tendon plasty in the treatment of chronic Achilles tendon rupture during medium and long-term follow-up.

Methods: Between June 2005 and September 2017, 20 patients with chronic Achilles tendon rupture underwent V-Y tendon plasty in our hospital. The mean injury-to-surgery time was 20. Read More

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http://dx.doi.org/10.1111/os.12429DOI Listing
February 2019
2 Reads

Is Anteromedial Drilling Safe in Transphyseal Anterior Cruciate Ligament Reconstruction in Adolescents with Growth Remaining?

J Pediatr Orthop 2019 Apr;39(4):e278-e283

Texas Scottish Rite Hospital for Children.

Background: Previous reports of transphyseal drilling in anterior cruciate ligament (ACL) reconstruction have demonstrated good clinical outcomes without subjective changes in further skeletal development. The purpose of this study is to evaluate radiographic changes during continued growth following a transphyseal ACL reconstruction using an anteromedial femoral (AM) drilling technique in patients with >18 months of growth remaining.

Methods: A review of consecutive adolescents who underwent a soft tissue transphyseal ACL reconstruction using an AM drilling technique was performed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001289DOI Listing
April 2019
1 Read

Clinical treatment of diabetic foot ulcer combined with Budd-Chiari syndrome: A case report.

Medicine (Baltimore) 2019 Jan;98(4):e14224

Department of Orthopedic Surgery, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, China.

Rationale: Diabetic foot ulcer is a severe complication of diabetes, and most patients with diabetic foot ulcer require amputation. The incidence of Budd-Chiari syndrome is low; it is relatively rare. Diabetic foot ulcer combined with Budd-Chiari syndrome has not been reported so far. Read More

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http://dx.doi.org/10.1097/MD.0000000000014224DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358405PMC
January 2019
5 Reads
5.723 Impact Factor

A local anesthesia without tourniquet for distal fibula hardware removal after open reduction and internal fixation: the safe use of epinephrine in the foot. A randomized clinical study.

J Biol Regul Homeost Agents 2018 Nov-Dec;32(6 Suppl. 1):57-63

Intensive Unit Care, University of Pisa, Italy.

Hardware removal after surgical treatment fracture is one of the most common procedures in orthopaedic daily activity. A percentage from 14.5 to 21 of total removal involves the ankle joint. Read More

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January 2019
1 Read

Foot reconstruction with the superficial circumflex iliac artery perforator flap under local anesthesia: Two case reports.

Medicine (Baltimore) 2019 Jan;98(2):e13888

Division of Plastic and Reconstructive Surgery, National Nagasaki Medical Center, Japan.

Rationale: The superficial circumflex iliac artery perforator (SCIP) free flap is a popular method used in foot reconstruction. Although the SCIP flap has a relatively short pedicle and does not require intramuscular dissection, general anesthesia is largely preferred for SCIP flap reconstruction. We report 2 cases with the free SCIP flap for skin and soft tissue reconstruction of the foot under local anesthesia. Read More

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http://dx.doi.org/10.1097/MD.0000000000013888DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336647PMC
January 2019
2 Reads

Comprehensive multimodal surgical treatment of end-stage lower extremity lymphedema with toe management: The combined Charles,' Homan's, and vascularized lymph node transfer (CHAHOVA) procedures.

J Surg Oncol 2019 Mar 6;119(4):430-438. Epub 2019 Jan 6.

Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.

Background: End-stage lower extremity lymphedema (LEL) poses a particularly formidable challenge to surgeons as multiple pathological processes are at work. Because single modality treatment is often unsuccessful, we devised a comprehensive multimodal surgical treatment. The aim of this study is to share the technical considerations and examine the clinical outcomes of this combined approach. Read More

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http://dx.doi.org/10.1002/jso.25356DOI Listing
March 2019
4 Reads

[Data analysis of 8 113 cases of limb deformities corrected by external fixation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Oct;32(10):1241-1248

Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R.China.

Objective: To analyze the data of external fixation instruments (including Ilizarov instruments) used by QIN Sihe orthopaedic surgical team in the treatment of limb deformities in the past 30 years, and to explore the indications for the application of modern external fixation techniques in the correction of limb deformities and individual device configuration selection strategy.

Methods: According to QIN Sihe orthopaedic surgical team, the use of external fixator between January 1988 and December 2017 was analyzed retrospectively. The total use of external fixation and the proportion of different external fixators were analyzed in gender, different operation time, different age, different parts, and different diseases. Read More

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http://dx.doi.org/10.7507/1002-1892.201807055DOI Listing
October 2018
3 Reads

Compressed Fixation Combined with Vacuum-Assisted Closure for Treating Acute Injury of the Heel Fat Pad.

Med Sci Monit 2018 Dec 29;24:9466-9472. Epub 2018 Dec 29.

Department of Orthopedics, Third People's Hospital of Jinan, Jinan, Shandong, China (mainland).

BACKGROUND Treating acute injury of the heel fat pad is different from treating common soft tissue damage. Due to the paucity of literature on the topic, we described our initial experience treating acute injury of the heel fat pad to determine the ideal treatment method. MATERIAL AND METHODS A total of 53 patients with acute injury of the heel fat pad admitted to our hospital were selected for the study and were randomly divided into 2 groups: the compressed fixation combined with vacuum-assisted closure group and the only reimplanted and sewn group. Read More

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http://dx.doi.org/10.12659/MSM.910440DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322366PMC
December 2018
1 Read

Discussion: Is Reconstruction Preserving the First Ray or First Two Rays Better Than Full Transmetatarsal Amputation in Diabetic Foot?

Plast Reconstr Surg 2019 01;143(1):306-307

Jackson, Miss.; and Boston, Mass. From the University of Mississippi Medical Center; and Brigham and Women's Hospital, Harvard Medical School.

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http://dx.doi.org/10.1097/PRS.0000000000005123DOI Listing
January 2019

[Application of femoral-femoral artery bypass grafting combined with transverse tibial bone transporting for lower extremity arteriosclerosis obliterans or combined with diabetic foot].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Dec;32(12):1576-1580

Department of Hand Surgery, Repair and Reconstruction Surgery, Lower Limb Vascular Disease, the Second Hospital of Tangshan (the Affiliated Hospital of North China Polytechnic University), Tangshan Hebei, 063000, P.R.China.

Objective: To discuss the effectiveness of femoral-femoral artery bypass grafting combined with transverse tibial bone transporting in treatment of lower extremity arteriosclerosis obliterans (ASO) or combined with diabetic foot.

Methods: Between March 2014 and June 2016, 9 patients with lower extremity ASO or combined with diabetic feet were treated with femoral-femoral artery bypass grafting and transverse tibial bone transporting. All patients were male, aged from 63 to 82 years with an average of 74. Read More

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http://dx.doi.org/10.7507/1002-1892.201806124DOI Listing
December 2018
4 Reads

Three-Dimensional (3D) Computed Tomographic (CT) Assessment of the Sustentaculum Tail to Find Distinctive Characteristics: Implications for Surgery.

Med Sci Monit 2018 Nov 22;24:8417-8421. Epub 2018 Nov 22.

Department of Orthopedics, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China (mainland).

BACKGROUND With the complexity of calcaneal fracture (CF) increasing, its treatment has changed to include inserting the screw used to secure the facies articular posterior into the sustentaculum tail (ST). Some research progress has been made in this area, but there has been little in-depth research on the anatomical morphology of the sustentaculum tail, which is necessary for clinical surgery, and more information about Chinese anatomic characteristics and improved surgical techniques for CF are needed. MATERIAL AND METHODS This anatomical study, based on a three-dimensional (3D) computed tomographic (CT) reconstruction technique, included 287 dry calcaneus, consisting of 144 left and 143 right calcaneus. Read More

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http://dx.doi.org/10.12659/MSM.911534DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262903PMC
November 2018
19 Reads

Endovascular Therapy Using Diluted Contrast Medium for Critical Limb Ischemia in a Patient with Chronic Kidney Disease.

Int Heart J 2019 Jan 20;60(1):226-230. Epub 2018 Nov 20.

Department of Cardiovascular Medicine, The University of Tokyo Hospital.

A high percentage of patients with critical limb ischemia have concurrent chronic kidney disease (CKD). However, endovascular therapy (EVT) can be problematic in CKD patients. Thus, we developed a method of EVT using digital subtraction angiography (DSA) with diluted contrast medium (low-concentration DSA), wherein DSA parameters were adjusted for diluted contrast angiography (1:10 dilution). Read More

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http://dx.doi.org/10.1536/ihj.18-125DOI Listing
January 2019
16 Reads
1.130 Impact Factor

Experimental comparisons of passive and powered ankle-foot orthoses in individuals with limb reconstruction.

J Neuroeng Rehabil 2018 Nov 21;15(1):111. Epub 2018 Nov 21.

Center for the Intrepid, Department of Rehabilitation Medicine, Brooke Army Medical Center, JBSA Ft, Sam Houston, TX, USA.

Background: Ankle-foot orthoses (AFO) are commonly prescribed to provide functional assistance for patients with lower limb injuries or weakness. Their passive mechanical elements can provide some energy return to improve walking ability, but cannot restore plantar flexor push-off. Powered AFOs provide an assistive torque about the ankle to address the limitations of passive devices, but current designs have yet to be implemented on a large scale clinically. Read More

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http://dx.doi.org/10.1186/s12984-018-0455-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249722PMC
November 2018
11 Reads

Tissue Expansion for Severe Foot and Ankle Deformities: A 16-Year Review.

Plast Surg (Oakv) 2018 Nov 9;26(4):244-249. Epub 2018 Jan 9.

Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

Background: Tissue expansion in the lower extremity is controversial, with studies reporting complication rates as high as 83%. Few studies have looked at tissue expansion prior to orthopaedic correction of severe foot and ankle deformities, and those available are restricted to clubfoot in the pediatric population. Here, we report the largest case series on the use of tissue expanders for the reconstruction of severe foot and ankle deformity and the only report in adults. Read More

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http://dx.doi.org/10.1177/2292550317749510DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236506PMC
November 2018
14 Reads

Quality of life in patients with toe-to-hand transplantation.

J Plast Surg Hand Surg 2018 Dec 16;52(6):359-362. Epub 2018 Nov 16.

a Department of Orthopaedic Surgery , Nara Medical University , Kashihara , Japan.

Objective: Toe-to-hand transplantation is a reliable procedure that replaces like-with-like in cases of a lost thumb or finger. The aim of this study is to investigate the effects of toe transplantation on patients from the perspectives of quality of life (QOL) and disability.

Methods: Ten patients with traumatic amputation of a digit underwent reconstruction with toe transplantation. Read More

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https://www.tandfonline.com/doi/full/10.1080/2000656X.2018.1
Publisher Site
http://dx.doi.org/10.1080/2000656X.2018.1520123DOI Listing
December 2018
15 Reads

[Effectiveness of medial ankle branches propeller "Tennis racket-like" flap in repair of heel-ankle tissue defects].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Nov;32(11):1450-1453

Department of Burns and Plastic Surgery, Pingdingshan Traditional Pingmei Shenma Medical Hospital, Pingdingshan Henan, 467000, P.R.China.

Objective: To investigate effectiveness of the medial ankle branches propeller "Tennis racket-like" flap in repair of heel-ankle tissue defect.

Methods: Between June 2011 and June 2016, 50 patients with heel-ankle tissue defects were treated. There were 40 males and 10 females, with a median age of 35. Read More

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http://dx.doi.org/10.7507/1002-1892.201804030DOI Listing
November 2018
1 Read

Passive-dynamic ankle-foot orthosis improves medium-term clinical outcomes after severe lower extremity trauma.

J R Army Med Corps 2018 Nov 9. Epub 2018 Nov 9.

Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre (DMRC) Headley Court, Surrey, UK.

Introduction: Individuals with delayed below-knee amputation have previously reported superior clinical outcomes compared with lower limb reconstruction. The UK military have since introduced a passive-dynamic ankle-foot orthosis (PDAFO) into its rehabilitation care pathway to improve limb salvage outcomes. The aims were to determine if wearing a PDAFO improves medium-term clinical outcomes and what influence does multidisciplinary team (MDT) rehabilitation have after PDAFO fitting? Also, what longitudinal changes in clinical outcomes occur with MDT rehabilitation and how do these results compare with patients with previous lower extremity trauma discharged prior to PDAFO availability?

Methods: We retrospectively evaluated levels of mobility, activities of daily living, anxiety, depression and pain in a heterogeneous group of 23 injured UK servicemen 34±11 months after PDAFO provision. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001082
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http://dx.doi.org/10.1136/jramc-2018-001082DOI Listing
November 2018
12 Reads

Anatomical Basis of the Intermediate Dorsal Pedal Neurocutaneous Perforator Pedicled Propeller Flap: A Cadaveric Dissection.

Clin Anat 2018 Oct 14;31(7):1077-1084. Epub 2018 Oct 14.

Bengbu Medical College Fuzhou General Teaching Hospital (Fuzhou General Hospital of PLA) Orthopedics Institute, Fuzhou, China.

Soft tissue defects of the forefoot represent a challenging surgical modality to reconstructive microsurgeons. This study describes the anatomical basis and design of the perforator-based intermediate dorsal pedal neurocutaneous vascular flap. Thirty fresh human lower limb specimens were injected with red latex and used for dissection of the dorsal vascular and neural anatomy of the foot. Read More

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http://dx.doi.org/10.1002/ca.23229DOI Listing
October 2018
3 Reads

Repair of soft tissue defects of the fingers with medial plantar venous flap.

Rev Assoc Med Bras (1992) 2018 Jun;64(6):501-508

Department of hand and foot surgery, Yiwu Central Hospital, Jiangdong Road 699#, Yiwu city, Zhejiang province, China.

Objective: To report the surgical procedures and efficacy of using medial plantar venous flap for the repair of soft tissue defects of the fingers.

Methods: From March 2010 to April 2012, medial plantar venous flaps were harvested to repair the wounds of 31 fingers in 29 cases. Among them, there were 13 middle fingers with defects at the tips in 11 cases, 7 fingers with defects in the dorsal part in 7 cases, and 11 fingers with defects in the finger pulp in 11 cases. Read More

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http://dx.doi.org/10.1590/1806-9282.64.06.501DOI Listing
June 2018
10 Reads

Outcomes of endovascular treatment versus bypass surgery for critical limb ischemia in patients with thromboangiitis obliterans.

PLoS One 2018 9;13(10):e0205305. Epub 2018 Oct 9.

Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Republic of Korea.

We aimed to compare the clinical outcomes between endovascular treatment and inframalleolar bypass surgery for critical limb ischemia (CLI) in patients with thromboangiitis obliterans (TAO) and to assess the role of bypass surgery in the era of innovative endovascular treatment. Between January 2007 and December 2017, a total of 33 consecutive patients with the diagnosis of TAO presenting with CLI who underwent endovascular treatment (endovascular group, n = 22) or bypass surgery to the pedal or plantar vessels (bypass group, n = 11) were included and analyzed retrospectively. The primary endpoint was defined as a major amputation of the index limb, and the secondary endpoint was defined as graft occlusion, regardless of the number of subsequent procedures. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0205305PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177182PMC
March 2019
4 Reads

Complex Ankle and Hindfoot Arthrodesis Using Circular External Fixation.

Authors:
Andrew R Hsu

Am J Orthop (Belle Mead NJ) 2018 Sep;47(9)

Department of Orthopaedic Surgery, University of California-Irvine, Orange, CA.

Surgical reconstruction of the ankle and hindfoot in patients with diabetes, Charcot neuroarthropathy, osteomyelitis, deformity, and/or bone loss can be challenging and often results in amputation. In these patients, conventional internal fixation with plates, screws, and intramedullary nails is often not feasible because of ongoing infection or poor bone stock and soft tissue quality. The Ilizarov method of ankle and hindfoot arthrodesis is a well-established technique for limb reconstruction that uses circular external fixation to achieve solid bony fusion, optimal leg length, and eradication of infection in cases of complex pathology. Read More

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http://dx.doi.org/10.12788/ajo.2018.0081DOI Listing
September 2018
2 Reads

Functional Surgery for Malignant Subungual Tumors: A Case Series and Literature Review.

Actas Dermosifiliogr 2018 Oct 4;109(8):712-721. Epub 2018 Jul 4.

Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.

Background And Objectives: Amputation is the conventional treatment for malignant subungual tumors (MSUTs), namely, subungual squamous cell carcinoma (SUSCC) and subungual melanoma (SUM). Functional surgery consisting of wide local excision (WLE) of the nail unit can preserve function without modifying prognosis in such cases. We present a series of MSUTs treated with WLE of the nail unit, describe the technique, and review its indications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00017310183025
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http://dx.doi.org/10.1016/j.ad.2018.05.002DOI Listing
October 2018
11 Reads

[Analysis of clinicopathological characteristics and prognostic factors of foot and ankle soft tissue and bone tumors].

Zhonghua Zhong Liu Za Zhi 2018 Sep;40(9):685-689

Department of Orthopaedics, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

To evaluate the clinicopathological characteristics of foot and ankle soft tissue and bone tumor, and to analyze the prognosis and the related factors of malignant tumors in this site. 74 patients with soft tissue and bone tumors of foot and ankle from January 2006 to February 2017 were retrospectively analyzed. The clinicopathological characteristics, the treatment and survival status of malignant tumors were followed up, and the clinical and therapeutic factors related to prognosis were analyzed. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0253-3766.2018.09.010DOI Listing
September 2018
2 Reads

Pain Reduction with Negative Pressure on Surgical Site Incisions.

Surg Technol Int 2018 Nov;33:47-51

Board Certified Foot and Ankle Reconstruction, American Board of Foot and Ankle Surgery, Scripps Mercy Hospital, San Diego, CA.

Postoperative pain management for surgery in the lower extremities has historically been managed mechanically through the use of elevation, ice, compression and drains. Pharmacological management includes the use of nerve blocks and analgesics. Due to the current opioid crisis, new methods are being sought to reduce post-operative pain so that patients are at lower risk for opioid addiction. Read More

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November 2018
2 Reads

[Repairing the bone and skin defect of foot after improved toe-to-finger reconstruction utilizing periosteal perforator bone-skin flap of proximal anterior tibial artery].

Zhonghua Yi Xue Za Zhi 2018 Sep;98(33):2656-2660

Department of Hand and Foot Microsurgery, Chang'an Xin'an Hospital, Dongguan 523800, Chian.

To evaluate the clinical outcome of repairing donor site of foot after improved toe-to-finger reconstruction utilizing periosteal perforator bone-skin flap of proximal anterior tibial artery. Twelve patients of toe defect after reconstruction were repaired from March, 2015 to June, 2017 utilizing periosteal perforator bone-skin flap of proximal anterior tibial artery in the Department of Hand and Foot Microsurgery of Xin'an Hospital, Dongguan City.Of which, there were 7 cases of great toe defect with fibular side of phalanx ungual and skin, 5 cases of second toe defect with proximal interphalangeal joints and the partial bone accompanied the great toe defect. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.33.009DOI Listing
September 2018
1 Read

Enabling tomography with low-cost C-arm systems.

PLoS One 2018 13;13(9):e0203817. Epub 2018 Sep 13.

Dept. Bioingeniería e Ingeniería Aeroespacial, Universidad Carlos III de Madrid, Madrid, Spain.

In scenarios where the use of a Computed Tomography (CT) is difficult, such as during surgery or in the ICU, the use of a C-arm system to generate tomographic information could contribute with interesting additional clinical information. Recent days are seeing the development of the so-called cone-beam CT (CBCT) based on advanced motorized isocentric C-arm systems. To be able to make use of more basic C-arm systems, apart from the geometric non-idealities common to any CBCT, we need to address other difficulties. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203817PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136768PMC
March 2019
3.234 Impact Factor

Functional prognosis of critical limb ischemia and efficacy of restoration of direct flow below the ankle.

Vascular 2019 Feb 7;27(1):38-45. Epub 2018 Sep 7.

1 Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Objective: Patients with critical limb ischemia have serious systemic comorbidities and are at high risk of impairment of limb function. In this study, we assessed the prognostic factors of limbs after revascularization.

Methods: In this retrospective single-center cohort study, from April 2008 to December 2012, we treated 154 limbs of 121 patients with critical limb ischemia by the endovascular therapy-first approach based on the patients' characteristics. Read More

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http://dx.doi.org/10.1177/1708538118798886DOI Listing
February 2019
12 Reads

Treatment of infected Achilles tendinitis and overlying soft tissue defect using an anterolateral thigh free flap in an elderly patient: A case report.

Medicine (Baltimore) 2018 Aug;97(35):e11995

The Research Center for Advanced Image and Information Technology, School of Electronics and Information Engineering, Chonbuk National University, Jeonju, Chonbuk, Republic of Korea.

Introduction: Infected segmental loss of the Achilles tendon with overlying soft tissue and skin defect remains a more complex reconstructive challenge. Here, we present a functional reconstruction of infected Achilles tendinitis with combined soft tissue defects using a free composite anterolateral thigh (ALT) flap with vascularized fascia lata in an elderly patient.

Case Presentation: A 71-year-old male patient was transferred to our department due to soft tissue defect of the left lower leg and infected Achilles tendinitis. Read More

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http://dx.doi.org/10.1097/MD.0000000000011995DOI Listing
August 2018
7 Reads

Left/right limb judgement task performance following total knee replacement.

J Back Musculoskelet Rehabil 2019 ;32(1):77-84

School of Health and Social Care, Teesside University, Middlesbrough, UK.

Purpose: Working body schema (WBS) of the limbs may be indirectly assessed using left/right limb judgement (LRLJ) task performance. This study aimed to investigate if: 1) Total Knee Replacement (TKR) patients perform LRLJ tasks with reference to their WBS; 2) patients have a disrupted WBS following a TKR for the replaced knee compared to the contralateral knee; and 3) lower limb-based LRLJ task performance changes following post-surgical rehabilitation using change in upper limb-based LRLJ task performance as a control.

Methods: In a convenience sample (n= 18, age 69 ± 7 yrs, 12F 6M) of TKR patients < 1 month post-surgery, WBS was assessed using LRLJ task performance for the upper (pictures of the hand) and lower limb (pictures of the foot) before and after rehabilitation. Read More

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http://dx.doi.org/10.3233/BMR-171104DOI Listing
March 2019
1 Read

Ankle Arthrodesis with Free Vascularized Fibula Autograft Using Saphenous Vein Grafts: A Case Series.

Plast Reconstr Surg 2018 09;142(3):806-809

Philadelphia, Pa. From the University of Pennsylvania.

Background: In select high-risk cases of ankle arthrodesis, conventional techniques may lead to a high incidence of failure because of a combination of multiple operations; high risk of infection; avascular, often bulky allografts; and poor soft-tissue quality. In high-risk distal limb salvage, the authors have performed ankle arthrodesis using a free vascularized fibula graft from the ipsilateral limb with saphenous vein grafts.

Methods: The authors present data from six patients. Read More

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http://Insights.ovid.com/crossref?an=00006534-201809000-0004
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http://dx.doi.org/10.1097/PRS.0000000000004671DOI Listing
September 2018
6 Reads

[Effectiveness of wide fascial and doubly vascularized pedicle posterior cnemis flap in repair of soft tissue defect of forefoot].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1192-1195

Orthopaedic Trauma of Orthopaedic Center, Lanzhou General Hospital of Chinese PLA, Lanzhou Gansu, 730050, P.R.China.

Objective: To investigate the effectiveness of wide fascial and doubly vascularized pedicle posterior cnemis flap in repair of the soft tissue defect of forefoot.

Methods: Between March 2011 and March 2017, 18 cases with severe soft tissue defects of forefeet were repaired with the wide fascial and doubly vascularized pedicle posterior cnemis flaps. There were 13 males and 5 females with an average age of 33 years (range, 11-49 years). Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201803111
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http://dx.doi.org/10.7507/1002-1892.201803111DOI Listing
September 2018
8 Reads

[Effectiveness of posterior intercostal artery perforator flap in repair of donor defect after latissimus dorsi myocutaneous flap transfer].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1187-1191

Department of Burn &  Plastic and Hand &  Foot Surgery, the Second Hospital of Yulin City , Yulin Shaanxi, 719000, P.R.China.

Objective: To investigate the feasibility and effectiveness of the latissimus dorsi myocutaneous flap in repair of large complex tissue defects of limb and the relaying posterior intercostal artery perforator flap in repair of donor defect after latissimus dorsi myocutaneous flap transfer.

Methods: Between January 2016 and May 2017, 9 patients with large complex tissue defects were treated. There were 8 males and 1 female with a median age of 33 years (range, 21-56 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201803046DOI Listing
September 2018
4 Reads

[Repair of cicatricial contracture deformity of palm with modified free medial plantar flap with preserved abductor hallucis].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jul;32(7):951-954

Department of Burn and Plastic Surgery, the Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563003, P.R.China.

Objective: To investigate the effectiveness of modified free medial plantar flap with preserved abductor hallucis for repairing cicatricial contracture deformity of palm.

Methods: Between January 2012 and July 2017, a modified free medial plantar flap with preserved abductor hallucis was used to repair 9 cases of cicatricial contracture deformity at the palm. There were 7 males and 2 females with a median age of 23 years old (range, 15-40 years). Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201801141
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http://dx.doi.org/10.7507/1002-1892.201801141DOI Listing
July 2018
17 Reads

[New progress in the treatment of chronic wound of diabetic foot].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jul;32(7):832-837

Department of Orthopaedics, Beijing Shijitan Hospital, CMU, Beijing, 100038, P.R.China.

Diabetic foot is one of the serious complications of diabetic patients. It is caused by diabetes combined with different degrees of lower extremity vascular lesions and neuropathy, and the wound can not heal for a long time. The serious results can cause bone marrow infection, bone destruction, and have high disability and death rate. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201806058
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http://dx.doi.org/10.7507/1002-1892.201806058DOI Listing
July 2018
21 Reads

Three-Dimensional Reconstruction: The Waveform Design of Free Perforator Flap for the Heel Defect Repair.

Plast Reconstr Surg 2018 11;142(5):809e-810e

Department of Hand and Microsurgery, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.

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http://dx.doi.org/10.1097/PRS.0000000000004942DOI Listing
November 2018
1 Read

Reply: Reconstruction of the Heel, Middle Foot Sole, and Plantar Forefoot with the Medial Plantar Artery Perforator Flap: Clinical Experience with 28 Cases.

Plast Reconstr Surg 2018 11;142(5):810e-811e

Department of Plastic and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.

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http://dx.doi.org/10.1097/PRS.0000000000004943DOI Listing
November 2018
1 Read

Successful nonsurgical therapy of a diabetic foot osteomyelitis in a patient with peripheral artery disease with almost complete radiological restoration.

BMC Res Notes 2018 Aug 13;11(1):579. Epub 2018 Aug 13.

Radiology Department, Amalia Fleming Hospital Unit, Athens, Greece.

Background: Diabetic foot ulcer (DFU) is a common complication in patients with diabetes mellitus (DM) and can consequently lead to soft tissue infection and osteomyelitis.

Case Presentation: We present a case of a 68-year-old man with a history of Type 2 DM and symptomatic peripheral artery disease, referred to our hospital due to an infected lower extremity DFU. Cultures revealed methicillin-resistant Staphylococcus aureus and Stenotrophomonas maltophilia. Read More

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http://dx.doi.org/10.1186/s13104-018-3694-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090687PMC
August 2018
2 Reads

Limb Salvage and Functional Outcomes following Free Tissue Transfer for the Treatment of Recalcitrant Diabetic Foot Ulcers.

J Reconstr Microsurg 2019 Feb 12;35(2):117-123. Epub 2018 Aug 12.

Department of Plastic Surgery, Center for Wound Healing, MedStar Georgetown University Hospital, Washington, DC.

Background:  Recent evidence documenting high success rates following microvascular diabetic foot reconstruction has led to a paradigm shift in favor of more aggressive limb preservation. The primary aim of this study was to examine reconstructive and functional outcomes in patients who underwent free tissue transfer (FTT) for recalcitrant diabetic foot ulcers (DFUs) at our tertiary referral center for advanced limb salvage.

Methods:  Between June 2013 and June 2016, 29 patients underwent lower extremity FTT for diabetic foot reconstruction by the senior author (K. Read More

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http://dx.doi.org/10.1055/s-0038-1667363DOI Listing
February 2019
10 Reads

Morphological, radiographic and computed tomographic evaluation of the metatarsophalangeal joint of the one-humped camel.

Anat Histol Embryol 2018 Dec 6;47(6):537-543. Epub 2018 Aug 6.

Anatomy and Embryology Department, Faculty of Veterinary Medicine, Sadat-City University, Sadat City, Egypt.

The camel digits have a complex structure with tendons, joints and ligaments. The objective of the study was to determine the anatomical features of the metatarsophalangeal joint and its puncture site in dromedary camel using anatomical dissection, radiography, computed tomography (CT) bone and soft tissue window scans and 3D reconstruction render volume of CT. The study used six adult camels of both sexes (three males and three females), aged 9-15 years (Mean ± SD equal 11. Read More

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http://dx.doi.org/10.1111/ahe.12394DOI Listing
December 2018
6 Reads

The impact of foot infection on infrainguinal bypass outcomes in patients with chronic limb-threatening ischemia.

J Vasc Surg 2018 12 29;68(6):1841-1847. Epub 2018 Jul 29.

Michael E. DeBakey Veteran's Administration Medical Center, Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex. Electronic address:

Background: Despite advances in endovascular therapy, infrainguinal bypass continues to play a major role in achieving limb salvage. In this study, we sought to compare outcomes of infrainguinal bypass in patients with limb-threatening ischemia who presented with or without foot infection.

Methods: We conducted a retrospective cohort study of patients who underwent infrainguinal bypass for chronic limb-threatening ischemia at a single institution. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.04.059DOI Listing
December 2018
1 Read

Peripheral Blood Mononuclear Cells Therapy for Treatment of Lower Limb Ischemia in Diabetic Patients: A Single-Center Experience.

Ann Vasc Surg 2018 Nov 25;53:190-196. Epub 2018 Jul 25.

Department of Vascular Surgery, Istituto Dermopatico Dell'Immacolata IDI - IRCCS, Rome, Italy.

Background: The aim of this study is to analyze the effects of peripheral blood mononuclear cells (PBMNCs) therapy in diabetic patients with critical limb ischemia (CLI), with particular regard to its application, as adjuvant therapy in patients underwent endovascular revascularization.

Methods: Fifty diabetic patients affected by CLI were enrolled. All patients underwent PBMNCs therapy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096183050
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http://dx.doi.org/10.1016/j.avsg.2018.05.036DOI Listing
November 2018
19 Reads

Recent National Trends and Outcomes in Total Ankle Arthroplasty in the United States.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1092-1095. Epub 2018 Jul 18.

Surgeon, Department of Orthopedic Surgery, Drexel University, Philadelphia, PA.

Total ankle arthroplasty (TAA) is an evolving option for treating ankle arthritis. We assessed the national trends in usage and perioperative outcomes of TAA in the United States. International Classification of Diseases, 9th revision (ICD-9), codes were used to search the National Hospital Discharge Survey database for TAA from 1997 to 2010. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.037DOI Listing
February 2019
1 Read

A prospective randomized comparison of the minimally invasive direct anterior and the transgluteal approach for primary total hip arthroplasty.

BMC Musculoskelet Disord 2018 Jul 19;19(1):241. Epub 2018 Jul 19.

Department of Orthopaedic Surgery, König-Ludwig-Haus, Center for Musculoskeletal Research, Julius-Maximilians-University, Brettreichstraße 11, 97074, Würzburg, Germany.

Background: The presented prospective randomized controlled single-centre study compares the clinical outcome up to 12 months after total hip arthroplasty using a minimally invasive single-incision direct anterior (DAA) and a direct transgluteal lateral approach.

Methods: A total of 123 arthroplasties were evaluated utilizing the Harris Hip Score (HHS), the extra short musculoskeletal functional assessment questionnaire (XSFMA), the Short Form 36 (SF-36) health survey, a Stepwatch™ Activity Monitor (SAM), and a timed 25 m foot walk (T25-FW). Postoperative x-ray images after THA were reviewed to determine inclination and stem positioning. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12891-018-2133-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6053824PMC
July 2018
3 Reads

Free-style puzzle flap as a cross-leg pedicled flap: the concept of re-using a flap in acute burns, a case report.

Burns Trauma 2018 2;6. Epub 2018 Feb 2.

Department of Plastic Reconstructive Surgery, Burn Center, Hôpital Saint Louis, AP-HP 1 Avenue Claude Vellefaux, 75010 Paris, France.

Background: In well-selected cases, flaps can play a pivotal role in optimizing outcomes in the acute phase of burns. A previous redundant flap could be reused or recycled as a donor site from which a new flap could be raised.

Case Presentation: We report the case of a patient with full thickness burns on both legs, leading to the exposure of joints of the right ankle and the right foot and left patellar tendon. Read More

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http://dx.doi.org/10.1186/s41038-018-0107-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040606PMC
February 2018
2 Reads

Clinical Characteristics of Lower Extremity Surgical Site Infections in Dermatologic Surgery Based Upon 24-Month Retrospective Review.

J Drugs Dermatol 2018 Jul;17(7):766-771

Dermatologic surgery performed on the lower extremities has an increased risk for surgical site infections (SSI). Our objective was to evaluate the clinical characteristics associated with SSI following Mohs micrographic surgery (MMS) and wide local excisions (WLE) performed below the knee. We performed a single-center retrospective chart review of patients (n=271) that underwent these procedures. Read More

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July 2018
7 Reads

The appropriate management algorithm for diabetic foot: A single-center retrospective study over 12 years.

Medicine (Baltimore) 2018 Jul;97(27):e11454

Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea.

Background: Diabetic foot management is a challenge for reconstructive surgeons because it combines dramatically decreased circulation and chronic infection. The goal of managing this condition is to maximize viable tissue; however, unsatisfactory results, such as extremity amputation, are unavoidable in some cases. For appropriate management, thorough understanding of diabetic foot and the phased approach to its management is needed. Read More

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http://dx.doi.org/10.1097/MD.0000000000011454DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076129PMC
July 2018
13 Reads