Subject(s)
Foot Ulcer/complications , Tetanus/complications , Foot Ulcer/therapy , Humans , Risk FactorsABSTRACT
The gross and histologic characteristics of chondroid syringoma were discussed. A case history of the fourth published occurrence of this rare tumor of the lower extremity was presented. Because of the rare occurrence of this tumor in the lower extremity, chondroid syringoma can easily be misdiagnosed. However, it should be included in the differential diagnosis of any slow-growing solid nodule in the skin. In the case presented, the hallux was saved by the persistence of the podiatrist and pathologist in obtaining second and third opinions on the histologic presentation of this rare tumor.
Subject(s)
Adenoma, Sweat Gland/pathology , Bone Neoplasms/pathology , Hallux/pathology , Adenoma, Sweat Gland/surgery , Aged , Bone Neoplasms/surgery , Diagnosis, Differential , Hallux/surgery , Humans , MaleABSTRACT
A 1-year study was undertaken at the Hugar Surgery Center, a freestanding ambulatory surgery center, to determine the infection rate for outpatient podiatric surgery. One hundred and forty-eight patients underwent foot surgery that included digital, soft tissue, metatarsal, simple bunionectomies, complex hallux abducto valgus correction with osteotomy and internal fixation, first metatarsophalangeal joint implant arthroplasty, midfoot, and rearfoot procedures. An infection rate of 1.35% was identified. The study indicates all types of podiatric surgery may be performed at ambulatory surgery centers without increased risk of postoperative infection. Infection rate of 1.35% is quite acceptable for clean foot surgery and compares rather favorably with hospital infection rates.
Subject(s)
Foot/surgery , Surgical Wound Infection/epidemiology , Surgicenters , Chicago/epidemiology , Humans , IncidenceSubject(s)
Ankle Joint/physiopathology , Podiatry/instrumentation , Biomechanical Phenomena , HumansABSTRACT
Solid-state cross-polarization/magic-angle sample-spinning (13)C NMR spectra have been recorded on chlorophyll a-water aggregates, methyl pyrochlorophyllide a, and methyl pyropheophorbide a (derivatives that lack a phytyl chain). Spectra have also been collected under a decoupling regime in which resonances of certain hydrogen-bearing carbon atoms are suppressed. These observations are used to assign the solid-state spectra.
