ABSTRACT
Changes in gait occur frequently with advancing age and are often associated with falls, loss of independence, morbidity, and even mortality. Gait changes may occur as part of the natural process of aging or may be associated with underlying pathology. Careful observation of gait can provide insight into the patient's overall state of health. This article discusses the various types of gait changes that can occur with aging and the significance of these gait abnormalities.
Subject(s)
Aged , Gait , Geriatric Assessment , Health Status , Arthritis/diagnosis , Arthritis/physiopathology , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/physiopathology , Humans , Metabolic Diseases/diagnosis , Metabolic Diseases/physiopathology , Musculoskeletal Diseases/diagnosis , Musculoskeletal Diseases/physiopathology , Neuromuscular Diseases/diagnosis , Neuromuscular Diseases/physiopathologyABSTRACT
Local flap reconstruction of pedal defects can be accomplished with a variety of techniques. Multiple geometric constructs have been described for closure of foot defects. Each has its own unique principles which can be adapted to certain locations and premorbid conditions. Local flaps considered for closure of foot defects should lie within the higher level of any algorithm, due to their versatility, reproducibility, and long term functional outcomes. In addition, hospitalization, length of anesthesia, and perioperative care can be much less with the use of local flaps.
