ABSTRACT
A retrospective study was undertaken to determine the importance of performing noninvasive blood flow studies on the diabetic patient population prior to undergoing elective foot surgery. Thirty diabetic patients, contemplating elective foot surgery, underwent noninvasive blood flow studies. Eighty-seven percent of these patients, with ankle/brachial indices greater than 0.6, successfully healed after surgery was performed.
Subject(s)
Diabetes Mellitus/physiopathology , Foot/blood supply , Foot/surgery , Adult , Aged , Aged, 80 and over , Ankle/blood supply , Elective Surgical Procedures , Female , Humans , Male , Middle Aged , Postoperative Complications , Preoperative Care , Pulse/physiology , Regional Blood Flow/physiology , Retrospective Studies , Wound HealingABSTRACT
The Herbert/Whipple bone screw system can be used to obtain accurate placement of a cancellous screw for providing rigid internal fixation of small bone fragments. This is accomplished by utilization of a guide pin. Preliminary results by the authors are encouraging with the fixation of the Austin osteotomy.
Subject(s)
Bone Screws , Hallux Valgus/surgery , Osteotomy/instrumentation , HumansABSTRACT
Solitary periungual angiofibromas can often be challenging in the diagnosis and treatment of such common lesions. Because of the various histologic presentations of fibrous skin tumor, a complete differential diagnosis would include hemangioma, seborrheic keratosis, fibroma, and digital fibrokeratoma. Treatment by total sharp excision can often be accomplished, depending on the morphological appearance of the lesion. An incisional biopsy of a more expansile lesion may be warranted.
Subject(s)
Angiofibroma , Nail Diseases , Angiofibroma/pathology , Angiofibroma/surgery , Female , Humans , Middle Aged , Nail Diseases/pathology , Nail Diseases/surgery , ToesABSTRACT
The Herbert bone screw was initially developed for management of fractures of the carpal scaphoid. Due to its unique features, the applications of this rigid internal fixation device have been expanded. The most common use of the Herbert screw in podiatric surgery has been for fixation of the Austin osteotomy of the first metatarsal head, for correction of hallux abducto valgus. Technical difficulties encountered in this procedure may have discouraged its use or led to discontinuance. These problems are addressed, and modifications in technique are suggested. The most important modification involves a change in the angle and orientation of the osteotomy.
Subject(s)
Bone Screws , Fracture Fixation, Internal/methods , Metatarsal Bones/surgery , Osteotomy/methods , Hallux Valgus/surgery , Humans , Metatarsal Bones/injuriesABSTRACT
Physeal plate injuries are unique to children and young adults. They present special problems in treatment and diagnosis. This manuscript will review these fractures: their classification, diagnosis, prognosis, and treatment principles.
Subject(s)
Ankle Injuries , Salter-Harris Fractures , Fractures, Bone/classification , Fractures, Bone/diagnosis , Fractures, Bone/therapy , Growth Plate/anatomy & histology , HumansABSTRACT
This manuscript presents an overview of talocalcaneal coalitions, and information with regard to etiology, clinical presentation, and diagnosis. The treatment of this deformity is a currently contested issue in the literature. Several therapeutic concepts are discussed.
Subject(s)
Foot Deformities/therapy , Subtalar Joint , Female , Foot Deformities/diagnostic imaging , Foot Deformities/surgery , Humans , Male , Radiography , Subtalar Joint/abnormalities , Subtalar Joint/diagnostic imaging , Subtalar Joint/surgeryABSTRACT
Puncture wounds may be relatively innocuous, or they can lead to devastating sequelae. The authors reflect their combined experiences in treating these maladies and review recommended treatment protocol. Various radiographic, clinical, and histologic characteristics of puncture wounds are presented.
