ABSTRACT
Subcutaneous fungal infections are relatively uncommon in the lower extremity. Mycetoma begins as painless papules or nodules that increase in size and progresses to involve the connective tissue. Diagnosis is based on biopsy, with definitive identification of the organism needed for effective treatment. Treatment consists of antifungal medications and surgical debridement. This article provides an overview of this disorder and reports on a case of recurrent mycetoma in a 70-year-old woman.
Subject(s)
Mycetoma , Aged , Antifungal Agents/therapeutic use , Combined Modality Therapy , Debridement , Female , Follow-Up Studies , Fusarium/isolation & purification , Humans , Mycetoma/therapy , RecurrenceSubject(s)
Spider Bites/diagnosis , Adult , Animals , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Skin/pathology , Spider Bites/pathology , Spider Bites/therapy , SpidersABSTRACT
Large defects on the plantar aspect of the foot can be too extensive to permit primary repair by suturing alone. Such defects can be closed through the use of skin flaps. The authors present an overview of skin flaps and suggest a transpositional skin flap as one type of reconstructive treatment for this problem.
Subject(s)
Diabetic Foot/surgery , Foot/surgery , Surgical Flaps , Humans , Male , Middle Aged , Surgical Flaps/classificationABSTRACT
The authors present a case of bilateral middle facet talocalcaneal coalitions with peroneal spasm producing a fixed valgus heel. They introduce a corrective procedure used at the Fountain Valley Regional Hospital and Medical Center and discuss its application in podiatric surgery. Correction included resection of the synostosis and lateral opening wedge heterogenous bone graft in the calcaneus to redistribute the body's weight on the heel and centralized over the axis of the subtalar joint.
Subject(s)
Calcaneus/surgery , Foot Deformities, Acquired/surgery , Talus/surgery , Adult , Humans , Joint Instability/surgery , Male , Osteotomy/methods , Spasm/surgery , Subtalar Joint/surgeryABSTRACT
The authors present a descriptive report on medial column instability with Lisfranc's fracture dislocation injuries. Subtleties of recognizing and diagnosing this injury are emphasized within a literature review. Eleven cases of tarsometatarsal injuries were reviewed over an 18-month period. Eight cases involved acute injuries, while three cases presented as delayed or misdiagnosed injuries. Due to the instability of the medial column, failure in reduction methods for this injury consistently occurred. With proper sequential placement of Kirschner wires, reduction failure is minimized. A fixation method for medial column Lisfranc's injuries with Kirschner wire placement is described.
Subject(s)
Fractures, Bone/surgery , Joint Dislocations/surgery , Metatarsal Bones/injuries , Tarsal Joints/injuries , Adult , Aged , Bone Wires , Diagnostic Errors , Female , Follow-Up Studies , Fracture Fixation, Internal/methods , Fractures, Bone/complications , Humans , Joint Dislocations/complications , Joint Dislocations/physiopathology , Joint Instability/etiology , Joint Instability/surgery , Male , Metatarsal Bones/surgery , Middle Aged , Pain/etiology , Postoperative Complications/etiology , Reoperation , Tarsal Joints/surgeryABSTRACT
An introduction to the biodegradable Biofix rod for use in podiatric surgery is presented. Its application for Austin-type bunionectomies is described. The advantages and shortcomings are compared to traditional internal fixation. For procedures necessitating osteotomy stability, the Biofix rod is another option for the podiatric surgeon.
