ABSTRACT
The diagnosis and management of lateral ankle injuries require the physician to obtain an accurate history, complete a thorough physical examination, and institute appropriate treatment protocol. Labeling all acute lateral ankle injuries as ankle sprains can lead to long-term mechanical and functional instability and chronic pain around the ankle. Appropriate and aggressive functional rehabilitation of the acute ankle limits the postinjury convalescence and need for surgical reconstruction. If surgical repair of the chronic or acute ankle is warranted, the Brostrom-Gould procedure serves as a highly successful anatomic repair. Lateral ankle tenodesing procedures also are effective; however, in most cases, the loss of rearfoot motion limits this procedure to a secondary reconstructive procedure.
Subject(s)
Ankle Injuries/therapy , Sprains and Strains/therapy , Ankle/anatomy & histology , Ankle Injuries/diagnosis , Humans , Joint Instability/complications , Lateral Ligament, Ankle/injuries , Orthopedic Fixation Devices , Orthopedics , Sprains and Strains/classification , Sprains and Strains/complications , Sprains and Strains/diagnosisABSTRACT
Complex, out-of-the-ordinary problems are often encountered when evaluating patients for reconstructive foot and ankle surgery. Salvage of these complex problems in the foot and ankle often requires the use of autogenous bone grafts. This article provides a brief overview of autografts including indications, healing, graft types, and perioperative management.
Subject(s)
Ankle/surgery , Bone Transplantation/methods , Foot/surgery , Combined Modality Therapy , Humans , Orthopedic Fixation Devices , Postoperative Care , Transplantation, AutologousABSTRACT
Arthrodesis of the first metatarsal cuneiform joint has been described as a primary procedure for hallux abducto valgus repair since the early 1900s. Popularized by Paul W. Lapidus, this procedure has remained controversial since its introduction, falling in and out of vogue in the orthopedic and podiatric communities. The authors expound their experiences, using modified operative techniques and advanced internal fixation principles, with emphasis on proper patient selection and clinical results.
Subject(s)
Arthrodesis/methods , Hallux Valgus/surgery , Adolescent , Adult , Child , Hallux Valgus/diagnostic imaging , Hallux Valgus/physiopathology , Humans , Middle Aged , Patient Selection , Postoperative Care , Radiography , Treatment OutcomeABSTRACT
The authors describe a case in which an 88-year-old black male with a long-standing history of diabetes, blindness, and dialysis therapy presented with idiopathic diabetic bullosum of the left foot distal extremities. The lesions usually are intraepidermal and resolve spontaneously over a period of weeks with no resulting scar formation. The lesions are highly recurrent. In this specific case, the long healing time may be attributed to the age of the patient as well as the decrease in immune and systemic response to injury, weakened by dialysis therapy and his poor arterial status.